Active NPI
Robert Lewis Nuenke, LPC, NCC
- Professional Counselor
- Gainesville, VA
National Provider Identifier
1437835048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701012623
- Practice address
- 7051 Heathcote Village Way Ste 130
Gainesville, VA 20155-3198 - Phone
- (571) 393-1227
- NPI assigned
- Jun 27, 2023
- Last updated
- Jun 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701012623 | VA | |
| Professional Counselor | 101YP2500X | 0701012623 | VA | Primary |
Addresses
Primary practice location
7051 Heathcote Village Way Ste 130
Gainesville, VA 20155-3198
Mailing address
8269 Highland St
Manassas, VA 20110-3601
Phone (571) 393-1227
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 |
|---|---|---|---|
| 0701012623 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Counseling Services | Mental Health | Current | Accepting new patients |
Locations
7051 Heathcote Village Way
Ste 130
Gainesville, VA 20155
Phone (571) 393-1227
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1437835048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8269 HIGHLAND ST",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201103601",
"telephone_number": "571-393-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7051 HEATHCOTE VILLAGE WAY STE 130",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553198",
"telephone_number": "571-393-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUENKE",
"first_name": "ROBERT",
"middle_name": "LEWIS",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701012623",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701012623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.