Associated Counselors of Tidewater

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

07010001157 Issued in VA

Legal business name

ASSOCIATED COUNSELORS OF TIDEWATER

Practice address

287 Independence Blvd Ste 219
Virginia Beach, VA 23462-2956

Phone

(757) 490-6960

Fax

(757) 490-6995

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Christianne Harmon

Title

Office Manager

Phone

(757) 490-6960

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 7

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

• Ameka Michelle Lee-Graham, LCSW

  • Clinical Social Worker
  • Hampton, VA
  • NPI 1316275548

  Clinical, VA

  Medicare reassignment NPD
• Lance W Wright

  • Clinical Social Worker
  • Hampton, VA
  • NPI 1275788101

  Clinical, VA

  Medicare reassignment NPD
• Cynthia Gale Murchison-Grice, LPC

  • Mental Health Counselor
  • Newport News, VA
  • NPI 1194382333
  NPD
• Virginia McClellan Gregoire, L.C.S.W.

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1780839274

  Clinical

  NPD (past)
• Lisa Frailing Lee, L.P.C.

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1437480589

  Professional

  NPD (past)
• Sharon Lockaby, LPC

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1295281509

  Professional

  NPD (past)
• William P. Walters, L.P.C., L.M.F.T

  • Marriage & Family Therapist
  • Virginia Beach, VA
  • NPI 1043232408

  Professional

  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1528087616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 INDEPENDENCE BLVD STE 219",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622956",
            "telephone_number": "757-490-6960",
            "fax_number": "757-490-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 INDEPENDENCE BLVD STE 219",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622956",
            "telephone_number": "757-490-6960",
            "fax_number": "757-490-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED COUNSELORS OF TIDEWATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "CHRISTIANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-490-6960",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "07010001157",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002379",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002454",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000866",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Virginia Beach, VA
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.