Christine L Hennigan, MS, LPC, LSATP, CSAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007146 Issued in VA

Practice address

501 Village Ave Ste 204
Yorktown, VA 23693-5657

Phone

(757) 992-9291

Fax

(757) 656-5658

NPI assigned

Aug 4, 2016

Last updated

Aug 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Christie Hennigan Other name

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seaside Wellness LLCGroup PAC ID 5294277075, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Seaside Wellness, LLC

  dba Ellie Mental Health

  • Mental Health Counselor
  • Yorktown, VA
  • NPI 1255026746
  Medicare reassignment Care Compare group NPD
• Afshar Brothers Inc.

  dba Ellie Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Herndon, VA
  • NPI 1629787809

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1124572375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VILLAGE AVE STE 204",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935657",
            "telephone_number": "757-992-9291",
            "fax_number": "757-656-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VILLAGE AVE STE 204",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935657",
            "telephone_number": "757-992-9291",
            "fax_number": "757-656-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "credential": "MS, LPC, LSATP, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103194",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000273",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009006",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "HENNIGAN",
            "credential": "MS, LPC, LSATP, CSAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Randolph Bryhn Harrison, M.D.
• Elizabeth Meghan Hartley, PHARMACY TECH
• Justin Harvison, CCC-SLP
• Amanda Michelle Hauser, COTA, LMT
• Brandie Devon Hawthorne, DOULA
• Heritage Pharmacy LLC
• Tiffany Reynolds Hermann, RBT
• Elizabeth Trent Hill, RPH
• Ellen Hipple
• Eleanor Victoria Holder I

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.