Halfwild Counseling LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HALFWILD COUNSELING LLC

Doing business as

Halfwild Counseling

Practice address

210 S Railroad Ave Ste G
Ashland, VA 23005-2090

Phone

(804) 994-1897

NPI assigned

Jan 3, 2021

Last updated

Jan 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Margaret Signorelli, LPCNPI 1063982122

Title

Counselor

Phone

(804) 994-1897

Specialties & licenses 1

Addresses

Other names 1

• Halfwild Counseling Doing business as

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Margaret Petersen Signorelli, LPC

  • Mental Health Counselor
  • Ashland, VA
  • NPI 1063982122
  NPD Authorized official
• Brianna Lasher, LCSW

  • Clinical Social Worker
  • Ashland, VA
  • NPI 1295425379
  NPD (past)

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609632000000",
    "number": "1952999377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13364 VERDON RD",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462248",
            "telephone_number": "804-994-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S RAILROAD AVE STE G",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230052090",
            "telephone_number": "804-994-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALFWILD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A",
        "authorized_official_last_name": "SIGNORELLI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "804-994-1897",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyNotes.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Note Tracking System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "210 S Railroad Ave Ste G",
            "city": "Ashland",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230052090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Halfwild Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Guion, PH.D,
• Claire Dorianne Hafenstein Holmes, LPC
• David Arthur Haine, OD
• Christi Anna Haizlip, LPC
• Thomas Maxwell Haley, DDS
• Yusef A Hall
• Carole Robertson Halstead, OTR/L
• Donald Edward Hanback, LPC
• R. Hayes Hanley Jr., M.D.
• Laura Elizabeth Hanna, D.D.S.

• Adult Mental Health Clinic/Center in Ashland, VA
• Providers in Ashland, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.