Poling Therapeutic Group LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

POLING THERAPEUTIC GROUP LLC

Practice address

3617 Buttermilk Creek Rd
Rockingham, VA 22802-1022

Phone

(540) 830-1777

Fax

(540) 466-1770

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Jeremy Poling, LPCNPI 1962925818

Title

Owner

Phone

(540) 830-1777

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jeremy Poling, LPC

  • Professional Counselor
  • Rockingham, VA
  • NPI 1962925818
  NPD Authorized official

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1104417948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 VALLEY VIEW AVE",
            "city": "MOUNT SIDNEY",
            "state": "VA",
            "postal_code": "244672205",
            "telephone_number": "540-830-1777",
            "fax_number": "540-466-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 BUTTERMILK CREEK RD",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228021022",
            "telephone_number": "540-830-1777",
            "fax_number": "540-466-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLING THERAPEUTIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "POLING",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-830-1777",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Pelton, CNM
• Rebecca Pence, NP
• Mark Peterson, PA-C
• Mary Philpott
• Julie Pierantoni, RN, MSN, CDE
• Jeremy Poling, LPC
• Stewart G. Pollock, M.D.
• Amanda Erin Ponack, MSOT
• Annlisbeth Poore-Bowman, NP
• Carrie F Post, LCSW

• Professional Counselor in Rockingham, VA
• Providers in Rockingham, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.