LGBT Life Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LGBT LIFE CENTER

Practice address

222 W 21St St # F-308
Norfolk, VA 23517-2200

Phone

(757) 640-0929

Fax

(757) 622-8932

NPI assigned

May 12, 2011

Organization subpart

No

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

Authorized official

Name

Kim Richardson

Title

Billing/Credentialing

Phone

(757) 907-2567

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Candii Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cory Daniel Gerwe, LPC

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1811481427
  NPD
• Denise Keeley, LCSW

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1881052736
  NPD (past)

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1497047237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W 21ST ST # F-308",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172200",
            "telephone_number": "757-907-2567",
            "fax_number": "757-578-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 21ST ST # F-308",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172200",
            "telephone_number": "757-640-0929",
            "fax_number": "757-622-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGBT LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "757-907-2567"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087422272",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497047237",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candii",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Patrick Howard Lewis Jr., PHARMD
• Stephen Daniel Lewis II, PTA
• Tamera Tamika-Lee Lewis
• Tifany Lewis, MS, CGC
• Wen Hsuan Chuang Lexier, M.D.
• LHCG Xxiv, LLC
• Charles Li, MD
• Li Li, M.D.
• Wei Li, MD
• Ying Li, M.D.

• Mental Health Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.