Individual provider Active NPI

Steven Michael Whetzel, MA PSYCHOLOGIST

  • Pastoral Counselor
  • Louisa, VA
National Provider Identifier
1487856068
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
WH74178 Issued in VA
Practice address
2109 S Lakeshore Dr
Louisa, VA 23093-5745
Phone
(540) 967-3891
Fax
(540) 967-3891
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X WH74178 VA Primary

Addresses

Primary practice location

2109 S Lakeshore Dr
Louisa, VA 23093-5745

Mailing address

2109 S Lakeshore Dr
Louisa, VA 23093-5745
Phone (540) 967-3891

Other identifiers 1

IdentifierTypeStateIssuer
WH74178OtherVANCCA LICENSE

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
WH74178VAMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487856068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 S LAKESHORE DR",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230935745",
            "telephone_number": "540-967-3891",
            "fax_number": "540-967-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 S LAKESHORE DR",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230935745",
            "telephone_number": "540-967-3891",
            "fax_number": "540-967-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETZEL",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MA PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "VA",
            "license": "WH74178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCA LICENSE",
            "identifier": "WH74178",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.