Jodi Baker-Hutchinson LLC
Organization Active NPI Community/Behavioral Health Agency · Chesapeake, VA
NPI 1780160747 · NPPES record last updated Jul 12, 2018
Key facts
- NPI
- 1780160747
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 0904009769 (VA)
- Legal business name
- JODI BAKER-HUTCHINSON LLC
- Practice address
- 501 Cedar Rd Ste 2C
Chesapeake, VA 23322-5527 - Phone
- (757) 478-4043
- NPI assigned
- Jul 12, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- CHESAPEAKE COUNSELING CENTER
Authorized official
- Name
- Jodi Shani Baker-Hutchinson, LCSW
- Title
- Owner/Provider
- Phone
- (757) 478-4043
Practitioners 6
-
Christina Lynn Lowry Brown, LPC, ATR, CSOTP
-
Emily Hottel King, LPC
-
Ingrid Maria Middleton, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181010001349 | VA | Part B Supplier - Clinic/Group Practice | 0446502074 |
Receives reassigned benefits from 6 practitioners Practice locations: Chesapeake, VA |
National Provider Directory
- Part of
- Jodi Baker-Hutchinson LLC
Locations
501 Cedar Rd
Ste 2A
Chesapeake, VA 23322
Phone (757) 302-8362
501 Cedar Rd
Ste 2C
Chesapeake, VA 23322
Phone (757) 468-0550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0904009769 | VA | Yes |
Addresses
Primary practice location
501 Cedar Rd Ste 2C
Chesapeake, VA 23322-5527
Mailing address
501 Cedar Rd Ste 2C
Chesapeake, VA 23322-5527
Phone (757) 478-4043
Other names
- Chesapeake Counseling Center
Other providers in Chesapeake, VA
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- JK2C, LLC
- Joachim, LLC
- Takara S Jobe
- Jodi Matos Counseling Services LLC
- Johnnie Nine Toes
- Charmaine Marie Johnson-Garcia
- Holly Johnson-Rodriguez
- Andrew Phillip Johnson
All providers in Chesapeake, VA · Community/Behavioral Health Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2018. 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.