William E Austin, D. MIN

Individual provider Active NPI Professional Counselor · Norfolk, VA

NPI 1174693295 · NPPES record last updated May 12, 2008

Key facts

NPI
1174693295
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0701002181 (VA)
Practice address
7305 Hampton Blvd
Norfolk, VA 23505-2923
Phone
(757) 623-2700
Fax
(757) 640-1058
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0701002181VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Pastoral Counseling Services, Inc Past
since Sep 1, 2014
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701002181 VA Yes

Addresses

Primary practice location

7305 Hampton Blvd
Norfolk, VA 23505-2923

Mailing address

7305 Hampton Blvd
Norfolk, VA 23505-2923
Phone (757) 623-2700

Other identifiers

IdentifierTypeStateIssuer
262980OtherVAANTHEM BLUE CROSS BLUE SHIELD
0701002181OtherVALIC. PROF. COUNSELOR

Other providers in Norfolk, VA

All providers in Norfolk, VA · Professional Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.