Active NPI
Milena Weisenborn, MS, LPC
- Professional Counselor
- Hampton, VA
National Provider Identifier
1538641998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701007751
- Practice address
- 2202 Executive Dr Ste C
Hampton, VA 23666 - Phone
- (757) 827-7707
- NPI assigned
- Sep 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 70580 | TX | |
| Counselor | 101Y00000X | 0701007751 | VA | |
| Mental Health Counselor | 101YM0800X | 0701007751 | VA | |
| Mental Health Counselor | 101YM0800X | 70580 | TX | |
| Professional Counselor | 101YP2500X | 70580 | TX | |
| Professional Counselor | 101YP2500X | 0701007751 | VA | Primary |
Addresses
Primary practice location
2202 Executive Dr Ste C
Hampton, VA 23666
Mailing address
2202 Executive Dr Ste C
Hampton, VA 23666-6604
Other practice location 1
2202 Executive Dr Ste C
Hampton, VA 23666
Phone (757) 827-7707
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70580 | TX | MD | Counselor |
| 0701007751 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1538641998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 EXECUTIVE DR STE C",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 EXECUTIVE DR STE C",
"city": "HAMPTON",
"state": "VA",
"postal_code": "23666",
"telephone_number": "757-827-7707"
}
],
"practiceLocations": [
{
"address_1": "2202 Executive Dr Ste C",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "23666",
"country_code": "US",
"telephone_number": "757-827-7707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISENBORN",
"first_name": "MILENA",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-02",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "70580",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701007751",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701007751",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "70580",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70580",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701007751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.