Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Hineline

Individual provider Mental Health Counselor · NPI 1063137792

Mark Hineline is a Mental Health Counselor in Palmyra, Virginia. Qualified in 2018, 8 years ago. Practices with Region Ten Community Community Services Board, an 18-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2022

Practice location Address checks out

13623 James Madison Hwy
Palmyra, VA 22963-4300
Phone: (434) 589-8276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701011746 (VA)

Record details

NPI number1063137792
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 5, 2022
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022
Mailing addressPo Box 184, Palmyra, VA 22963-0184

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Region Ten Community Community Services Board — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Palmyra