Behavioral & Counseling Services of Hanover, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004730 Issued in VA

Legal business name

BEHAVIORAL & COUNSELING SERVICES OF HANOVER, LLC

Practice address

9044 Mann Dr
Mechanicsville, VA 23116-2312

Phone

(804) 647-9802

Fax

(804) 746-5150

NPI assigned

Apr 10, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jennifer G Diehl, LCSWNPI 1942307061

Title

Sole Proprietor

Phone

(804) 647-9802

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer G Diehl, LCSW

  • Mental Health Counselor
  • Mechanicsville, VA
  • NPI 1942307061
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1073932604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3372",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231160032",
            "telephone_number": "804-647-9802",
            "fax_number": "804-746-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9044 MANN DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162312",
            "telephone_number": "804-647-9802",
            "fax_number": "804-746-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL & COUNSELING SERVICES OF HANOVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "804-647-9802",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Ann Beaton, M.D.
• Jodie Danielle Beaumont, DPT
• Cristin Conway Beazley, PT
• Ellen G Bedichek, M.D.
• Susan Beer, PT
• Dabney Belcastro, LCSW
• Bell Creek Chiropractic & Wellness Center, Inc
• Carl James Belock, DPM
• Leslie Parker Beltowski, PA-C
• Margaret Belyea, M.ED CCC SLP

• Clinical Social Worker in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.