Mary Giencke, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006852 Issued in VA

Practice address

638 Independence Pkwy Ste 240
Chesapeake, VA 23320-5222

Phone

(757) 965-5886

NPI assigned

Dec 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis Counseling Center, Inc.Group PAC ID 8729091715, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Genesis Counseling Center, Inc.

  • Professional Counselor
  • Hampton, VA
  • NPI 1164451399
  Medicare reassignment Care Compare group NPD
• Mary Giencke

  • Community/Behavioral Health Agency
  • Chesapeake, VA
  • NPI 1588106801
  NPD (past) Authorized official
• Christian Psychotherapy Services

  • Clinical Psychologist
  • Virginia Beach, VA
  • NPI 1437247723
  NPD (past)

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1366986259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 EXECUTIVE DR STE C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666604",
            "telephone_number": "757-827-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 INDEPENDENCE PKWY STE 240",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205222",
            "telephone_number": "757-965-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIENCKE",
        "first_name": "MARY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Paige Giarraputo, OTR/L
• Catey Gibbons, RBT
• Willie Gibbs
• Georgia Alexandra Gibson-Pruiksma
• Haley Gibson
• Gift of Help Home Health Care
• Gifted Minds Residential Care LLC
• Sandra Gilbert-Lane, LPC
• Angela Gilchrist
• Christine F Gilchrist, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.