NPIMap

Organization Active NPI

Beach Counseling Center LLC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1336510254
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004521 Issued in VA
Legal business name
BEACH COUNSELING CENTER LLC
Practice address
1064 Laskin Rd Ste 14C
Virginia Beach, VA 23451-6337
Phone
(757) 233-1500
Fax
(757) 222-3833
NPI assigned
Oct 19, 2015
Last updated
Jul 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Lou Phillips
Title
Administrator
Phone
(757) 651-3003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004521 VA Primary
Clinical Social Worker 1041C0700X 0904009182 VA

Addresses

Primary practice location

1064 Laskin Rd Ste 14C
Virginia Beach, VA 23451-6337

Mailing address

817 Linkhorn Dr
Virginia Beach, VA 23451-3920
Phone (757) 651-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200828001869 VA Part B Supplier - Clinic/Group Practice 5496172983 Receives reassigned benefits from 8 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

1064 Laskin Rd
Ste 14C
Virginia Beach, VA 23451
Phone (757) 233-1500

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1336510254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 LINKHORN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234513920",
            "telephone_number": "757-651-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 LASKIN RD STE 14C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516337",
            "telephone_number": "757-233-1500",
            "fax_number": "757-222-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "LOU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-651-3003"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004521",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009182",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 14, 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.