ROCKTOWN COUNSELING LLC (NPI# 1154941789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154941789 |
| Entity Type | Organization |
| Organization Name | ROCKTOWN COUNSELING LLC |
| Practice Address |
333 Windermere Dr Broadway VA 22815-9489 |
| Mailing Address |
Po Box 1075 Broadway VA 22815-1075 |
| Practice Telephone | 5402368219 |
| Mailing Telephone | 5402368219 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | KADIE KING (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5402368219 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1790118396 | 05 |
| Street Address |
333 WINDERMERE DR |
| City | BROADWAY |
| State | VA |
| Zip Code | 22815-9489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933549 | Dale Pickett IIi | Counselor | 333 Windermere Dr, Broadway, VA 22815-9489 | 2020-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919017 | Shenandoah Pain and Palliative Care Clinic, LLC | Nurse Practitioner | 173 E. Springbrook Road, Unit 3, Broadway, VA 22815 | 2019-12-17 |
| 1770130627 | Kathryn Walkley | Marriage & Family Therapist | 348 Louisa St, Broadway, VA 22815 | 2019-08-23 |
| 1912440116 | Life Enrichment Services, LLC | Counselor | 150 W Springbrook Rd, Broadway, VA 22815 | 2016-11-21 |
| 1205990983 | Tabitha T Garrison | Pain Medicine | 173 East Springbrook Road, Broadway, VA 22815 | 2006-12-20 |
| 1588742225 | Springbrook Family Medicine | Clinic/Center | 173 East Springbrook Rd, Broadway, VA 22815 | 2006-11-01 |
| 1891880217 | Broadway Family Practice, PC | Family Medicine | 12515 Timberway, Broadway, VA 22815 | 2006-10-03 |
| 1366550634 | Jeanne Marie Stutzman | Specialist | 223 E Springbook Rd, Broadway, VA 22815 | 2006-08-28 |
| 1750345310 | Brenda Mcgillivray Smith | Counselor | 1155 Early Dr, Broadway, VA 22815 | 2006-04-12 |
| 1699749648 | George Alexander Bentrem II | Family Medicine | 12515 Timber Way, Rt 259, Broadway, VA 22815 | 2006-02-15 |
| 1609367135 | Kathryn Vasco | Physician Assistant | 13892 Timber Way, Broadway, VA 22815 | 2018-05-21 |
| Find all providers in zip 22815 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.