Active NPI
Cyrus Rodrick Williams III, LPC, PHD
- Mental Health Counselor
- Virginia Beach, VA
National Provider Identifier
1083841779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701005688
- Practice address
- 1000 Regent University Dr.
CRB 221
Virginia Beach, VA 23464 - Phone
- (352) 374-5600
- NPI assigned
- Jun 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701005688 | VA | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1000 Regent University Dr.
CRB 221
Virginia Beach, VA 23464
Mailing address
1000 Regent University Dr.
CRB 221
Virginia Beach, VA 23464
Phone (352) 374-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600922207 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005688 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Counseling, Coaching & Consulting LLC | Mental Health | Current | Accepting new patients |
| Rapha Counseling Services Inc | Mental Health | Past | Accepting new patients |
Locations
1000 Regent University Dr
#221
Virginia Beach, VA 23464
1000 Regent University Dr
Virginia Beach, VA 23464
Phone (443) 495-9742
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1093431504
-
- Professional Counselor
- Virginia Beach, VA
- NPI 1821621038
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1083841779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 REGENT UNIVERSITY DR.",
"address_2": "CRB 221",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23464",
"telephone_number": "352-374-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 REGENT UNIVERSITY DR.",
"address_2": "CRB 221",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23464",
"telephone_number": "352-374-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CYRUS",
"middle_name": "RODRICK",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "LPC, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-19",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701005688",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600922207",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.