Individual provider Active NPI

Marilyn Weatherless Hembrick, LPC

  • Professional Counselor
  • Glen Allen, VA
National Provider Identifier
1932853553
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011157 Issued in VA
Practice address
12000 Wyndham Lake Dr Ste B
Glen Allen, VA 23059-7072
Phone
(804) 592-2793
Fax
(804) 592-2794
NPI assigned
Feb 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701011157 VA Primary

Addresses

Primary practice location

12000 Wyndham Lake Dr Ste B
Glen Allen, VA 23059-7072

Mailing address

6627 Rural Point Rd
Mechanicsvlle, VA 23116-6533
Phone (804) 839-7228

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240920002996 VA Practitioner - Mental Health Counselor 1850832528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fair Counseling LLCGroup PAC ID 4981045424, 2 clinicians

Practice addresses (Care Compare)

1241 Mall Dr
North Chesterfield, VA 23235-4879
Phone (804) 302-0336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701011157VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Light Counseling, Inc. Professional CurrentSince May 19, 2024 Accepting new patients
Resource Guidance Services Inc Professional CurrentSince Feb 13, 2022 Accepting new patients
Fair Counseling, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

12000 Wyndham Lake Dr
Ste B
Glen Allen, VA 23059
Phone (804) 378-3364

1241 Mall Dr
North Chesterfield, VA 23235
Phone (804) 302-0336

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1932853553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6627 RURAL POINT RD",
            "city": "MECHANICSVLLE",
            "state": "VA",
            "postal_code": "231166533",
            "telephone_number": "804-839-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 WYNDHAM LAKE DR STE B",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597072",
            "telephone_number": "804-592-2793",
            "fax_number": "804-592-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMBRICK",
        "first_name": "MARILYN",
        "middle_name": "WEATHERLESS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.