Rappahannock Area Community Services Board- Stafford County Clinic Mar 5, 2019 Your Contact Information A HelpLine specialist may follow up with your listing update submission to verify the information is correct. Your First and Last Name Your Phone Number Your Email Address Provider/Agency Contact Information Provider or Agency Name Is this provider an agency? Is this provider an organization that has multiple provider/professionals not listed as individual providers? Yes No What is the new patient status? Is this provider accepting new patients or have a waitlist? Yes, accepting new patients No, not accepting new patients Patients will be put on a waitlist Session Style Is this provider's sessions in-person, telehealth/virtual, or both? In-person and telehealth In-person only Telehealth only Provider or Agency Address Phone Number Add new Fax Number Email Address Add new Website Address Insurance Information Insurance Types Accepted Please check all that apply. Aetna Aetna Foreign Service Benefit Plan Anthem Anthem Bue Cross Blue Shield Anthem Health Keepers BCBS of Massachusetts Blue Cross/Blue Shield CareFirst Carelon Champ VA Cigna Court-Ordered Psychological Testing Court-ordered Treatment DEA EAP Evernorth FAPT FEP - Federal BC/BS Free with no insurance GEHA Humana Independence Innovation Health Insurance Reimbursement Johns Hopkins USFHP Kaiser Keystone Lyra EAP Medicaid Aetna Better Health Anthem Healthkeepers Plus Magellen/Molina Optima Sentara United Community Plan United Healthcare Virginia Premier (Sentara) Medicare Medicare Advantage Optima Optum Private Pay Sentara Sentara Health Plan Sliding Scale TriCare UMR United Healthcare Veteran Affairs Community Care Network Worker's Compensation -- Parent -- Add New Additional Insurance Information Please list any additional insurance types not listed above or if a certain type is on a case-by-case basis. Client Focus Information Provider Type Please check all that apply. Community Service/Agency Counselor/Therapist Crisis Stabilization Day treatment / Partial Hospitalization Treatment Evaluation/Testing Foster Care Treatment Inpatient Treatment Intensive In-Home Services Intensive Outpatient Treatment Psychiatrist/Medication Residential Treatment Substance Use Treatment Telehealth ONLY -- Parent -- Add New Age Groups Serviced Please check all that apply. You can be more specific about ages in the additional information box found below. Adolescents Adults Children Seniors -- Parent -- Add New Modalities / Treatment Approaches Please check all that apply. Co-Parenting Couples Families Groups Individuals Teletherapy/Online -- Parent -- Add New Issues Treated Please check all that apply. ADD/ADHD Addiction Adjustment Issues Adolescent Issues Adoption Alcohol Abuse Alzheimer's/Dementia Anger Management Anxiety Attachment Issues Autism Spectrum Behavior Issues Behavioral Health Bereavement/Grief Bipolar Disorder borderline personality disorder Bullying Child Abuse Child Development Child Loss Chronic illness Codependency conduct disorders Conflict Management Crisis Custody Issues Depression Developmental Disorders Disability Issues disruptive mood dysregulation disorder Dissociative identity disorder Divorce Domestic Violence Drug/Substance Abuse Dual Diagnosis Eating Disorders Family issues Forensic Issues Foster Care Gender Identity/Sexuality Hallucinations/Delusions Hoarding Human Trafficking Impulse control Infertility Insomnia Intellectual Disabilities Learning Problems Legal Issues Life Changes Low self esteem Medical Issues Men’s Issues Miscarriage/Death of a Child Mood Disorders Neurocognitive Disorders Obesity/Weight Management Obsession/Compulsion (OCD) Pain Management Panic Attacks/Disorders Parenting Issues Personality Disorders phobias Physical Abuse PMDD Post-Traumatic Stress (PTSD) Postpartum Depression Premarital Psychosis Psychosomatic Disorder psychotic disorders Rape/Sexual Assault Relationship Issues Schizoaffective Disorder Schizophrenia School Problems Self-injury Cutting Senior/Geriatric issues Sex/Pornography Addiction Sexual Abuse Sexual Dysfunction Social Skills Spiritual Issues Stress Management Substance Abuse Suicide/Suicidality Tele-Therapy terminal illness Trauma Traumatic Brain Injury/Head Trauma Video Game Addiction Women’s Issues Perinatal -- Parent -- Add New Specialized Therapy Techniques Please check all that apply. ABA Behavioral Therapy Acceptance & Commitment Therapy (ACT) Acceptance Based Therapies (ABT) Acupuncture ADHD Testing Alpha-Stim Animal Therapy Art Therapy Autism and disability testing Bariatric Surgery Evaluation Christian Counseling Cognitive Behavior Therapy (CBT) Cognitive Processing Therapy Collaborative Problem solving Comprehensive Behavioral Intervention (CBIT) for Tic Disorders Crisis Intervention and Advocacy Custody Evaluations Dance/movement therapy Dialectical Behavior Therapy (DBT) Directive Therapy Emotion Focused Therapy (EFT) Energy Therapies Equine-Assisted Psychotherapy Evidence based therapy Existentialist Experiential Therapy Expressive Arts Eye Movement Desensitization and Reprocessing (EMDR) Family Based Therapy for Eating Disorders Family Systems theory Forensic Evaluation Gottman Couples Therapy Grief Support Group Group Therapy Anger Management Harm Reduction Therapy Hypnosis IFS Informed Integrative Psychotherapy Internal Family Systems Interpersonal therapy Meditation Mental Health Skill Building MHS therapy Mindfulness-Based Cognitive Therapy (MBCT) Motivational Enhancement therapy Motivational Interviewing Neurofeedback Parent Competency Perinatal Mental Health Counseling Person-Centered Approach Play Therapy Positive Psychology Prolonged Exposure Psychodynamic Therapy Psychometric Screening Risk Assessment and Safety Planning Solution-Focused Solution-Focused Therapy Spiritual Counseling Strength-based Therapy Transcranial Magnetic Stimulation (TMS) Trauma Focused Cognitive Behavior Therapy (TF-CBT) Trauma-Informed Wellness Management Recovery -- Parent -- Add New Specialized Populations What population categories do you or your agency specialize in treating? Please check all that apply. Adolescent self-injury African American culture Autism spectrum disorder Disability Emergency responders Energy Workers First generation immigrant Gender/Sexuality/Trans.Ethical Non-Monogamy/Polyamory Immigration Individuals experiencing homelessness Intellectual Disabilities Kink Law Enforcement & Families LGBTQ+ Military/Veterans Multi-racial families Perinatal Racially/Ethnically Diverse Refugees Sex Offenders Sex Workers Sexual Assault or Abuse Survivors Spirituality Women -- Parent -- Add New Additional Languages Please check all that apply. Afrikaans American Sign Language (ASL) Amharic Arabic Bengali Dari Farsi Finnish French German Haitian Creole Hebrew Hindi Hungarian Igbo Japanese Korean Mandarin Nepali Punjabi Russian Serbian Spanish Thai Turkish TWI (Ghana) Ukranian Urdu Yoruba -- Parent -- Add New Additional Information Use this area to specify ages groups by number, unique issues, client focus, specialized therapy techniques or languages not listed above. Visual Text *hours: Monday-Thursday 8:00am-7:00pm, Closed Friday, 24-hour Emergency Services
