Individual provider Active NPI

Luc F Watelet, LPC

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1346914702
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010592 Issued in VA
Practice address
8527 Mayland Dr Ste 108
Richmond, VA 23294-4753
Phone
(804) 404-9695
NPI assigned
Aug 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701010592 VA Primary

Addresses

Primary practice location

8527 Mayland Dr Ste 108
Richmond, VA 23294-4753

Mailing address

6359 Hickory Rd
Quinton, VA 23141-1104
Phone (804) 614-6280

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ThePWC@PaganoWellnessClinic.com Direct

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

State licenses

LicenseStateTypeSpecialty
0701010592VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pagano Wellness Clinic CurrentSince Oct 29, 2023 Accepting new patients

Locations

8527 Mayland Dr
Ste 108
Richmond, VA 23294
Phone (804) 404-9695

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.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1346914702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6359 HICKORY RD",
            "city": "QUINTON",
            "state": "VA",
            "postal_code": "231411104",
            "telephone_number": "804-614-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8527 MAYLAND DR STE 108",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944753",
            "telephone_number": "804-404-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATELET",
        "first_name": "LUC",
        "middle_name": "F",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ThePWC@PaganoWellnessClinic.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8527 Mayland Dr Ste 108",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232944753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.