Organization Active NPI

Christine F. Gilchrist LCSW, PC

  • Mental Health Counselor
  • Chesapeake, VA
National Provider Identifier
1558660902
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0904001519 Issued in VA
Legal business name
CHRISTINE F. GILCHRIST LCSW, PC
Practice address
3802 Poplar Hill Rd
Suite B
Chesapeake, VA 23321-5531
Phone
(757) 483-5111
Fax
(757) 686-4845
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Christine Falkner Gilchrist, LCSWNPI 1285643387
Title
President
Phone
(757) 483-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 0904001519 VA Primary

Addresses

Primary practice location

3802 Poplar Hill Rd
Suite B
Chesapeake, VA 23321-5531

Mailing address

3802 Poplar Hill Rd
Suite B
Chesapeake, VA 23321-5531
Phone (757) 483-5111

Other identifiers 1

IdentifierTypeStateIssuer
800002215OtherVAMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110617000189 VA Part B Supplier - Clinic/Group Practice 8426236662 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

3802 Poplar Hill Rd
Ste B
Chesapeake, VA 23321
Phone (757) 483-5111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1558660902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 POPLAR HILL RD",
            "address_2": "SUITE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215531",
            "telephone_number": "757-483-5111",
            "fax_number": "757-686-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 POPLAR HILL RD",
            "address_2": "SUITE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215531",
            "telephone_number": "757-483-5111",
            "fax_number": "757-686-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE F. GILCHRIST LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "GILCHRIST",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "FALKNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-483-5111",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904001519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "800002215",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.