Individual provider Active NPI

Sherell L Outlaw

  • Professional Counselor
  • Hampton, VA
National Provider Identifier
1487543708
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014908 Issued in VA
Practice address
600 Medical Dr
Hampton, VA 23666-1769
Phone
(757) 788-0600
Fax
(757) 788-0934
NPI assigned
Jul 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 0701014908 VA Primary

Addresses

Primary practice location

600 Medical Dr
Hampton, VA 23666-1769

Mailing address

300 Medical Drive
Hampton, VA 23666-1765
Phone (757) 788-0300

Other practice location 1

400 Medical Dr
Hampton, VA 23666-1767
Phone (757) 788-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250925001458 VA Practitioner - Mental Health Counselor 4880199355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Newport News Community Services BoardGroup PAC ID 0446247480, 26 clinicians

Practice addresses (Care Compare)

400 Medical Dr a
Hampton, VA 23666-1767
Phone (757) 788-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701014908VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Newport News Community Services Board CurrentSince Jun 29, 2025 Accepting new patients

Locations

300 Medical Dr
Fl 2
Hampton, VA 23666
Phone (757) 788-0092

300 Medical Dr
Hampton, VA 23666
Phone (757) 788-0092

600 Medical Dr
Ste Ab
Hampton, VA 23666
Phone (757) 788-0600

600 Medical Dr
Hampton, VA 23666
Phone (757) 788-0600

400 Medical Dr
#A
Hampton, VA 23666
Phone (757) 788-0400

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1487543708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL DRIVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661765",
            "telephone_number": "757-788-0300",
            "fax_number": "757-788-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEDICAL DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661769",
            "telephone_number": "757-788-0600",
            "fax_number": "757-788-0934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236661767",
            "country_code": "US",
            "telephone_number": "757-788-0400",
            "fax_number": "757-788-0957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUTLAW",
        "first_name": "SHERELL",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.