New Horizons Counseling Services, LLC
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Onley, VA
NPI 1245070820 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1245070820
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- Legal business name
- NEW HORIZONS COUNSELING SERVICES, LLC
- Practice address
- 25020 Shore Pkwy Ste K
Onley, VA 23418-2857 - Phone
- (757) 709-0996
- Fax
- (757) 460-7744
- NPI assigned
- May 30, 2024
- Organization subpart
- No
Authorized official
- Name
- Mr. John Willis Konkel, LPC
- Title
- Owner
- Phone
- (757) 709-0996
Practitioners 1
-
John Willis Konkel, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240624004296 | VA | Part B Supplier - Clinic/Group Practice | 5890238471 |
Receives reassigned benefits from 1 practitioner Practice locations: Onley, VA |
National Provider Directory
Locations
25020 Shore Pkwy
Ste K
Onley, VA 23418
Phone (757) 709-0996
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Yes |
Addresses
Primary practice location
25020 Shore Pkwy Ste K
Onley, VA 23418-2857
Mailing address
PO Box 1153
Exmore, VA 23350-1153
Phone (757) 709-0996
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All providers in Onley, VA · Adolescent and Children Mental Health Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.