Stephanie Doswell, LPC
Individual provider Active NPI Professional Counselor · Gloucester, VA
NPI 1134820335 · NPPES record last updated Mar 14, 2023
Key facts
- NPI
- 1134820335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701012270 (VA)
- Practice address
- 9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162 - Phone
- (804) 695-8120
- Fax
- (804) 695-8122
- NPI assigned
- Mar 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brightside Health Inc
Practice addresses (Care Compare)
Arlington, VA 22203
Phone (415) 360-3348
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240423004164 | VA | Practitioner - Mental Health Counselor | 8224477286 | Reassigns benefits to 1 organization |
| I20240905002620 | DC | Practitioner - Mental Health Counselor | 8224477286 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current |
Accepting new patients |
| Middle Peninsula Northern Neck Mental Health & Retardation | Current |
Accepting new patients | |
| Middle Peninsula-Northern Neck Mental Health and Mental Retardation | Current |
Accepting new patients | |
| Brightside Health, Inc. | Current |
Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
3804 Wilson Blvd
#1318
Arlington, VA 22203
9228 George Washington Memorial Hwy
Gloucester, VA 23061
Phone (804) 693-5057
1041 Sharon Rd
Ste 201
King William, VA 23086
Phone (804) 769-2751
330 Hospital Rd
Tappahannock, VA 22560
Phone (804) 695-8120
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701012270 | VA | Yes |
Addresses
Primary practice location
9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162
Mailing address
9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162
Phone (804) 695-8120
Other providers in Gloucester, VA
- Frances Elizabeth Dickinson
- Kanae Dimaggio
- Direct Access Internal Medicine LTD
- Carolyn G. Dolan
- Heather Cailin Donnelly
- Heather Marie Dotson
- Dove Counseling Service
- Theresa Driessen
- Hannah Dun
- Nicole Dunmire
All providers in Gloucester, 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 Mar 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.