Philippa Chin, LPC, LMFT
Individual provider Active NPI Professional Counselor · Gloucester, VA
NPI 1871240127 · NPPES record last updated Mar 15, 2022
Key facts
- NPI
- 1871240127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701011240 (VA)
- Practice address
- 7296 York Avenue
Gloucester, VA 23061 - Phone
- (804) 695-2557
- Fax
- (804) 695-0110
- NPI assigned
- Mar 7, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701011240 | VA | MD | Professional Counselor |
| 0717001886 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Counseling Associates PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717001886 | VA | |
| Professional Counselor | 101YP2500X | 0701011240 | VA | Yes |
Addresses
Primary practice location
7296 York Avenue
Gloucester, VA 23061
Mailing address
PO Box 460
Gloucester, VA 23061-0460
Phone (804) 695-2557
Other providers in Gloucester, VA
- Roberta C. Chapman
- Chesapeake Counseling Associates PC
- Chesapeake Dermatopathology & Dermatology, P.C.
- Children'S Medical Group, Inc., D/B/a Courthouse Pediatrics
- Childrens Physician Group Inc
- Charles Henry Chittum
- Elizabeth A. Clemmons
- William Clinger
- John Cochran
- Joshua A Coleman
All providers in Gloucester, 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 Mar 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.