MARYVIEW HOSPITAL (NPI# 1003163171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003163171 |
| Entity Type | Organization |
| Organization Name | MARYVIEW HOSPITAL |
| Other Organization Name | THE BON SECOURS CENTER FOR EMOTIONAL WELLNESS |
| Practice Address |
110 Kingsley Ln Ste 206 Norfolk VA 23505-4614 |
| Practice Telephone | 7573982374 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |
| Authorized Official Name | MICHAEL K KERNER (CEO) |
| Authorized Official Telephone | 7576735929 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARYVIEW HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| The Bon Secours Center for Emotional Wellness | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891354759 | Maryview Hospital | Internal Medicine | 301 Goode Way Ste 103, Portsmouth, VA 23704-2266 | 2019-06-13 |
| 1013439835 | Maryview Hospital | Internal Medicine | 12720 Mcmanus Blvd Ste 313, Newport News, VA 23602-4414 | 2017-07-13 |
| 1811442619 | Maryview Hospital | Clinic/Center | 7185 Harbour Towne Pkwy, Suffolk, VA 23435-3656 | 2016-08-22 |
| 1841686722 | Maryview Hospital | Family Medicine | 3300 High St Ste 6, Portsmouth, VA 23707-3321 | 2015-04-08 |
| 1922418235 | Maryview Hospital | Family Medicine | 148 Burnetts Way, Ste 107, Suffolk, VA 23434-6149 | 2014-05-08 |
| 1326477506 | Maryview Hospital | Family Medicine | 3537 Airline Blvd Ste 1, Portsmouth, VA 23701-2650 | 2013-11-07 |
| 1982956678 | Maryview Hospital | Radiology | 7185 Harbour Towne Pkwy S Ste 108, Suffolk, VA 23435-3796 | 2012-10-05 |
| 1841549953 | Maryview Hospital | Internal Medicine | 7185 Harbour Towne Pkwy S Ste 105, Suffolk, VA 23435-3796 | 2012-09-05 |
| 1053638890 | Maryview Hospital | Urology | 4037 Taylor Rd Ste A, Chesapeake, VA 23321-5500 | 2010-05-03 |
| 1831426204 | Maryview Hospital | Orthopaedic Surgery | 5838 Harbour View Blvd Ste 100, Suffolk, VA 23435-2663 | 2009-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Maryview Hospital LLC | 3636 High St, Portsmouth, Virginia 23707 |
| Street Address |
110 KINGSLEY LN STE 206 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459347 | Migdonia Montejo | Specialist | 110 Kingsley Ln, Suite 106, Norfolk, VA 23505-4614 | 2005-07-07 |
| 1841647120 | Kristi Meibers | Nurse Practitioner | 110 Kingsley Ln, Ste 309, Norfolk, VA 23505-4614 | 2016-05-17 |
| 1093173528 | Ebony Shanay Canady | Social Worker | 110 Kingsley Ln, Suite 210, Norfolk, VA 23505-4614 | 2016-01-28 |
| 1588036602 | Hampton Roads Pediatric Dentistry and Orthodontics, Pllc | Dentist | 110 Kingsley Ln, Ste. 403, Norfolk, VA 23505-4614 | 2015-10-28 |
| 1073989240 | Tidewater Speech and Language Services | Speech-Language Pathologist | 110 Kingsley Ln, Suite 209, Norfolk, VA 23505-4614 | 2015-08-11 |
| 1346632601 | Lakeisha O'neal | Social Worker | 110 Kingsley Ln, Suite 210, Norfolk, VA 23505-4614 | 2015-02-24 |
| 1023423340 | Laura Riddle | Nurse Practitioner | 110 Kingsley Ln, Suite 411, Norfolk, VA 23505-4614 | 2014-06-25 |
| 1255760997 | Anne Chisman Abraham | Social Worker | 110 Kingsley Ln, Suite 401, Norfolk, VA 23505-4614 | 2013-11-04 |
| 1184961690 | David T. Marshall, Dds, PC | Dentist | 110 Kingsley Ln, Suite 203, Norfolk, VA 23505-4614 | 2013-01-04 |
| 1982987301 | Sarah Kimberly Kosinski | Nurse Practitioner | 110 Kingsley Ln, Suite 312, Norfolk, VA 23505 | 2011-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114567666 | Terri Widen | Counselor | 110 Maycox Ave Ste 3, Norfolk, VA 23505-3433 | 2020-01-13 |
| 1093357048 | Krystal Vaughn | Counselor | 870 N Military Hwy Ste 208, Norfolk, VA 23502-3638 | 2019-10-10 |
| 1861950818 | Mike Moreno | Counselor | 2420 W Omaha Ave, Norfolk, NE 68701-1526 | 2019-03-08 |
| 1316404544 | Bold Ruler, LLC | Counselor | 957 W 21st St Ste L, Norfolk, VA 23517-1536 | 2019-02-24 |
| 1801363189 | Positive Wellness and Recovery LLC | Counselor | 5900 E Virginia Beach Blvd Ste 302, Norfolk, VA 23502-2488 | 2018-10-25 |
| 1922546746 | Family Wellness and Recovery Center, LLC | Counselor | 5121 E. Virginia Beach Blvd, Suite C-2, Norfolk, VA 23502-4041 | 2017-02-01 |
| 1457750051 | Kevin Weaver | Counselor | 846 W 35th St, Norfolk, VA 23508-3011 | 2014-08-19 |
| 1295144343 | Bethany Arcand | Counselor | 934 Armfield Cir Apt 204, Norfolk, VA 23505-3235 | 2014-08-02 |
| 1598104978 | Jennifer Lee Levine | Counselor | 206 Dedham St, Norfolk, MA 02056-1667 | 2013-06-19 |
| 1508140856 | Susan Cianfaglione | Counselor | 1526 Versailles Ave, No. 1, Norfolk, VA 23509-1146 | 2011-10-05 |
| Find all providers in NORFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.