MEDITELECARE OF VIRGINIA, LLC
NPI 1851890321
Psychologist - Clinical in Glen Allen, VA
About Meditelecare Of Virginia, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDITELECARE OF VIRGINIA, LLC (NPI 1851890321) is a healthcare organization registered as a clinical in Glen Allen, Virginia and active in the NPI registry since February 2018. The organization lists Andrea Godfrey, Credent And Enrollment Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Meditelecare Of Virginia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Meditelecare Of Virginia, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (15)
Glenn Allen, VA 23060
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Meditelecare Of Virginia, LLC's NPI number?
The NPI number for Meditelecare Of Virginia, LLC is 1851890321. It was assigned to this organization in the NPPES registry on February 9, 2018.
Where is Meditelecare Of Virginia, LLC located?
Meditelecare Of Virginia, LLC is located at 4701 Cox Rd Ste 285, Glen Allen, VA 23060. The listed phone number is (860) 788-6404.
What is Meditelecare Of Virginia, LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Meditelecare Of Virginia, LLC enrolled in Medicare?
Yes. Meditelecare Of Virginia, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Meditelecare Of Virginia, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Meditelecare Of Virginia, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Clinical Psychologist (5) and Clinical Social Worker (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Meditelecare Of Virginia, LLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Meditelecare Of Virginia, Llc · NPI 1851890321
Clinical organization in Glen Allen, Virginia. Organization record, active in the CMS NPPES registry since February 9, 2018.
## Identity
- **NPI:** 1851890321 (Entity type: Organization)
- **Enumerated:** February 9, 2018
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Andrea Godfrey, CREDENT AND ENROLLMENT MANAGER
## Practice location
- **Address:** 4701 COX RD STE 285, Glen Allen, VA 23060-6808
- **Phone:** (860) 788-6404
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Clinical Psychologist (5), Clinical Social Worker (2); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851890321) · Data from the CMS NPPES public registry.