Virginia Beach Clinical Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

VIRGINIA BEACH CLINICAL COUNSELING LLC

Practice address

4224 Holland Rd Ste 106
Virginia Beach, VA 23452-1900

Phone

(757) 320-5819

NPI assigned

Jun 29, 2020

Last updated

Oct 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Willett, LCSWNPI 1366904385

Title

Owner/ Psychotherapist

Phone

(757) 285-2388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Vaughan Willett, LCSW, MSW, BA

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1366904385
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1144847948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 LA TIERRA CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234566432",
            "telephone_number": "757-285-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOLLAND RD STE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521900",
            "telephone_number": "757-320-5819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Columbus Ctr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234626760",
            "country_code": "US",
            "telephone_number": "757-828-2159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIRGINIA BEACH CLINICAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "WILLETT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/ PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "757-285-2388",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Beach Aligned Ortho PLLC (Dr. Sarah Orthodontics and Aesthetics)
• Virginia Beach Ambulatory Surgery Center
• Virginia Beach Anesthesia, LLC
• Virginia Beach City Public Schools
• Virginia Beach City Public Schools
• Virginia Beach Counseling and Wellness
• Virginia Beach Counseling Services (Family Enrichment Center)
• Virginia Beach Counseling Services, PLLC
• Virginia Beach Department of Public Health
• Virginia Beach Dept. of Public Health - Dental Clinic

• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.