NPIMap

Organization Active NPI

Lakeside Center

  • Professional Counselor
  • Yorktown, VA
National Provider Identifier
1043697832
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LAKESIDE CENTER
Practice address
6515 George Washington Mem Hwy
# 101
Yorktown, VA 23692-2182
Phone
(757) 714-1838
Fax
(757) 321-6269
NPI assigned
Apr 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Linda Leitch-Alford, LPC
Title
Owner
Phone
(757) 874-0468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

6515 George Washington Mem Hwy
# 101
Yorktown, VA 23692-2182

Mailing address

PO Box 13296
Chesapeake, VA 23325-0296
Phone (757) 714-1838

National Provider Directory

National Provider Directory

Locations

6515 George Washington Mem Hwy
Ste 101
Yorktown, VA 23692
Phone (757) 714-1838

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1043697832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13296",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233250296",
            "telephone_number": "757-714-1838",
            "fax_number": "757-321-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 GEORGE WASHINGTON MEM HWY",
            "address_2": "# 101",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922182",
            "telephone_number": "757-714-1838",
            "fax_number": "757-321-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "LEITCH-ALFORD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-874-0468",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.