Individual provider Active NPI

Annette Vernell Watts, LMHP-R

  • Professional Counselor
  • Henrico, VA
National Provider Identifier
1053101535
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701016299 Issued in VA
Practice address
9517 Fairlake LN
Henrico, VA 23294-5521
Phone
(804) 300-1315
Fax
(804) 300-1315
NPI assigned
May 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X VA
Professional Counselor 101YP2500X 0701016299 VA Primary

Addresses

Primary practice location

9517 Fairlake LN
Henrico, VA 23294-5521

Mailing address

2002 Bremo Rd Ste 204
Richmond, VA 23226-2441
Phone (804) 824-6074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1053101535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 BREMO RD STE 204",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262441",
            "telephone_number": "804-824-6074",
            "fax_number": "800-233-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9517 FAIRLAKE LN",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232945521",
            "telephone_number": "804-300-1315",
            "fax_number": "804-300-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "ANNETTE",
        "middle_name": "VERNELL",
        "name_prefix": "Ms.",
        "credential": "LMHP-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701016299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.