Sir Prell Gross, LPC – Professional Counselor

Key facts

NPI: 1013425560
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: 0701007314 (VA)
Practice address: 3433 Brambleton Ave Ste 201a
Roanoke, VA 24018-6527
Phone: (540) 266-7550
Fax: (540) 266-7230
NPI assigned: Jan 18, 2018
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Peace'in'It Counseling Mental Health Counselor · Newport News, VA · NPI 1518622075

NPD PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
0701007314	VA	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Peace'in'It Counseling	Professional	Current since Nov 9, 2021	Accepting new patients

Locations

700 Tech Center Pkwy
Ste 20017
Newport News, VA 23606
Phone (757) 373-9284

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	0701007314	VA	Yes

Addresses

Primary practice location

3433 Brambleton Ave Ste 201a
Roanoke, VA 24018-6527

Mailing address

3433 Brambleton Ave Ste 201a
Roanoke, VA 24018-6527
Phone (540) 266-7550

Other providers in Roanoke, VA

All providers in Roanoke, VA · Professional Counselor in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.