Black Pine Counseling Center
NPI 1578014395ActiveOrganization· Counselor, Professional· Newport News, VA
Counselor, Professional in Newport News, Virginia, registered in NPPES in October 2016. The authorized official on file is Mark Nichols, MA, LPC, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578014395 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2016 |
| Last updated in NPPES | Aug 25, 2021 |
| Certified by provider | Aug 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 701006460 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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