Organization Active NPI

Williamsburg Counseling

  • Community/Behavioral Health Agency
  • Williamsburg, VA
National Provider Identifier
1093020489
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0717001251 Issued in VA
Legal business name
WILLIAMSBURG COUNSELING
Practice address
500 Strawberry Plains Rd
Williamsburg, VA 23188-3442
Phone
(757) 903-2406
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Amanda Deverich, LMFT, MED, NCCNPI 1336697150
Title
Therapist
Phone
(757) 903-2406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0717001251 VA Primary

Addresses

Primary practice location

500 Strawberry Plains Rd
Williamsburg, VA 23188-3442

Mailing address

286 E Queens Dr
Williamsburg, VA 23185-5042
Phone (757) 903-2406

National Provider Directory

National Provider Directory

Locations

500 Strawberry Plains Rd
Williamsburg, VA 23188
Phone (757) 903-2406

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1093020489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 E QUEENS DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855042",
            "telephone_number": "757-903-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 STRAWBERRY PLAINS RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231883442",
            "telephone_number": "757-903-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "DEVERICH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "757-903-2406",
        "authorized_official_credential": "LMFT, MED, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0717001251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.