Cherelle Denise Baylor, LPC
Individual provider Active NPI Professional Counselor · Newport News, VA
NPI 1245095322 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1245095322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701013325 (VA)
- Practice address
- 751 Thimble Shoals Blvd Ste K
Newport News, VA 23606-3563 - Phone
- (757) 586-5350
- Fax
- (757) 586-5351
- NPI assigned
- Feb 16, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20250430003293 | VA | Practitioner - Mental Health Counselor | 9436675634 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Tidewater Community Mental | Current |
Accepting new patients | |
| Aspire New Life, LLC | Past | Accepting new patients |
Locations
200 E 2nd Ave
Franklin, VA 23851
Phone (757) 562-2208
1913 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 357-7458
1801 S Church St
Ste 6
Smithfield, VA 23430
1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484
7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471
5268 Godwin Blvd
Suffolk, VA 23434
Phone (757) 255-7117
135 S Saratoga St
Suffolk, VA 23434
Phone (757) 925-1981
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701013325 | VA | Yes |
Addresses
Primary practice location
751 Thimble Shoals Blvd Ste K
Newport News, VA 23606-3563
Mailing address
2906 Victoria Blvd
Hampton, VA 23661-3031
Phone (804) 523-0744
Other providers in Newport News, VA
- Kerry Bate
- Laura Isabel Batista
- Kaylyn Battle
- Joseph A Baust Jr.
- Jason Bavarian
- James Donald Baylous
- Elijah Gabriel Baynes-Marsh
- Brenda Sue Baynham
- Tenesha A Bazemore
- BCLB, LLC
All providers in Newport News, 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 Feb 16, 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.