ELIZABETH S. GILLMORE (NPI# 1215045414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215045414 |
| Entity Type | Individual |
| Full Name | ELIZABETH S. GILLMORE |
| Credential | PHD |
| Practice Address |
415 S Pollard St Vinton VA 24179-2502 |
| Mailing Address |
108 Lacey Ln Troutville VA 24175-6568 |
| Practice Telephone | 5409771102 |
| Practice Fax Number | 5403445343 |
| Mailing Telephone | 5409771102 |
| Mailing Fax Number | 5403445343 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 0717000328 | VA | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
0701001023 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 023943 | 01 |
| VA | ANTHEM HEALTHKEEPERS | 436546 | 01 |
| VA | VALUE | 034899 | 01 |
| Street Address |
415 S POLLARD ST |
| City | VINTON |
| State | VA |
| Zip Code | 24179-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750361952 | William John Tanner | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2006-01-23 |
| 1548894256 | Karen Renee Fuller | Nurse Practitioner | 415 S Pollard St, Vinton, VA 24179-2502 | 2020-03-03 |
| 1598264350 | Lesley Arthur | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2018-02-07 |
| 1639523327 | Ashlee Perkinson Laughey | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2016-04-19 |
| 1487077434 | Jenna Schmitt | Physician Assistant | 415 S Pollard St, Vinton, VA 24179-2502 | 2014-01-28 |
| 1174870786 | Robbin Cutlip Oliver | Nurse Practitioner | 415 S Pollard St, Vinton, VA 24179-2502 | 2012-08-14 |
| 1851535355 | Russell P. Slayton | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2009-04-28 |
| 1619188687 | Richard Miller | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2007-05-24 |
| 1619011699 | Marycolette Carver | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2007-02-16 |
| 1073586970 | Randall Rhea | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2006-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255721320 | Lucas Vance | Specialist/Technologist | 1008 Wyndham Dr., Vinton, VA 24179 | 2015-01-28 |
| 1093114787 | Danielle Powell | Specialist/Technologist | 915 Norbourne Avenue, Vinton, VA 24179 | 2014-08-19 |
| 1083046593 | Jessica Stallard | Social Worker | 1120 Bypass Rd, Vinton, VA 24179 | 2013-08-07 |
| 1639375629 | Kenneth J Miller | Chiropractor | 2445 East Washington Ave, Suite B, Vinton, VA 24179 | 2007-06-26 |
| 1659572972 | R. Kevin Greenway, D.d.s. Ralph N. Greenway, D.d.s., P.C. | Dentist | 614 East Washington Avenue, Vinton, VA 24179 | 2007-05-31 |
| 1265651749 | Ralph N. Greenway | Dentist | 614 E.washington Ave., Vinton, VA 24179 | 2007-04-24 |
| 1386653921 | Jtw Pharmacy Inc | Pharmacy | 15818 Stewartsville Rd, Vinton, VA 24179 | 2006-08-05 |
| 1033139944 | Pharmerica Drug Systems LLC | Pharmacy | 9386 Hardy Road, Vinton, VA 24179 | 2006-07-20 |
| 1619996261 | Victor S. Skaff Jr. | Dentist | 1337 Hardy Road, Vinton, VA 24179 | 2006-07-18 |
| 1396728317 | Jefferson Kirkland Teass | Chiropractor | 300 Virginia Ave, Vinton, VA 24179 | 2005-11-23 |
| Find all providers in zip 24179 | ||||
| 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 |
|---|---|---|---|---|
| 1609333707 | Hilary Wieck | Counselor | 408 B Ave Ste A, Vinton, IA 52349-1143 | 2019-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790229 | Candice Cornelio | Counselor | 1904 Tolbert Ter Apt 202, Chester, VA 23836-2824 | 2020-11-03 |
| 1306443619 | Helianthus Therapy Services, LLC | Counselor | 767 Madison Rd Ste 112-114, Culpeper, VA 22701-3379 | 2020-10-08 |
| 1477160471 | Sarah Chun | Counselor | 950 N Washington St # 322, Alexandria, VA 22314-1534 | 2020-09-24 |
| 1659983484 | A. Lawrence Christian Counseling LLC | Counselor | 8213 Sudley Rd Ste 202, Manassas, VA 20109-3507 | 2020-08-22 |
| 1578173993 | Marjorie Denise Handy | Counselor | 108 Joyce Rd, Bassett, VA 24055-6102 | 2020-08-01 |
| 1073122719 | David Wooden | Counselor | 4201 Wilson Blvd # 300, Arlington, VA 22203-4417 | 2020-07-29 |
| 1376152678 | Gwendolyn Maurice | Counselor | 739 Cherry Hill Rd, Heathsville, VA 22473-2648 | 2020-07-23 |
| 1922624154 | Cedric Wilson | Counselor | 2616 Stonegate Dr, Winchester, VA 22601-3482 | 2020-06-23 |
| 1154946291 | Chloe Fulcher Morrissett | Counselor | 8389 Reagan Dr, King George, VA 22485-7149 | 2020-06-15 |
| 1184248130 | Thomas Lafayette Bateman IIi | Counselor | 11025 Greenline Ct, Mechanicsville, VA 23116-5855 | 2020-06-05 |
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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.