EARL WINSTON ALLEN JR. (NPI# 1629682513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629682513 |
Entity Type | Individual |
Full Name | EARL WINSTON ALLEN JR. |
Practice Address |
12000 Wyndham Lake Dr Ste B Glen Allen VA 23059-7072 |
Mailing Address |
1409 Winslow Rd North Chesterfield VA 23235-4159 |
Practice Telephone | 8045922793 |
Mailing Telephone | 8043143902 |
Enumeration Date | 2020-09-08 |
Last Update Date | 2020-09-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 0701009760 | VA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982607834 | Earl Briggs Allen Jr. | Chiropractor | 1932 Lee Hwy, Bristol, VA 24201-1624 | 2005-05-24 |
Street Address |
12000 WYNDHAM LAKE DR STE B |
City | GLEN ALLEN |
State | VA |
Zip Code | 23059-7072 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609334275 | Laura Beth Olliff | Counselor | 12000 Wyndham Lake Dr Ste B, Glen Allen, VA 23059-7072 | 2019-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
Find all providers in zip 23059 |
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 |
---|---|---|---|---|
1104279736 | Robert Hayden Myer | Counselor | 4100 Harwin Cir, Apartment 1114, Glen Allen, VA 23060-4318 | 2016-07-19 |
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 |
Find all providers with the same taxonomy |
City | GLEN ALLEN |
Zip Code | 23059 |
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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.