Active NPI
George Ennels, Counseling and Consulting Services, LLC
- Community/Behavioral Health Agency
- Norfolk, VA
National Provider Identifier
1497122105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0904000980
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164595443 | Other | VA | INDIVIDUAL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Norfolk, VA
- NPI 1619950235
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.