Organization Active NPI

George Ennels, Counseling and Consulting Services, LLC

  • Community/Behavioral Health Agency
  • Norfolk, VA
National Provider Identifier
1497122105
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0904000980 Issued in VA
Legal business name
GEORGE ENNELS, COUNSELING AND CONSULTING SERVICES, LLC
Practice address
2412 E Virginia Beach Blvd Ste D
Norfolk, VA 23504-3604
Phone
(757) 439-9026
Fax
(757) 622-8585
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Authorized official

Name
Mr. George Michael Ennels, LCSW
Title
Social Worker
Phone
(757) 439-9026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0904000980 VA Primary

Addresses

Primary practice location

2412 E Virginia Beach Blvd Ste D
Norfolk, VA 23504-3604

Mailing address

905 Merrimac Ave
Norfolk, VA 23504-4058
Phone (757) 439-9026

Other identifiers 1

IdentifierTypeStateIssuer
1164595443OtherVAINDIVIDUAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1497122105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MERRIMAC AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235044058",
            "telephone_number": "757-439-9026",
            "fax_number": "757-622-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 E VIRGINIA BEACH BLVD STE D",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043604",
            "telephone_number": "757-439-9026",
            "fax_number": "757-622-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE ENNELS, COUNSELING AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "ENNELS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "757-439-9026",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904000980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1164595443",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.