Active NPI
Luc F Watelet, LPC
- Professional Counselor
- Richmond, VA
National Provider Identifier
1346914702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701010592
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701010592 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pagano Wellness Clinic | Current | 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.
-
- Counselor
- Richmond, VA
- NPI 1114479938
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.