Individual provider Active NPI

Georgie Whatmore

  • Mental Health Counselor
  • Alexandria, VA
National Provider Identifier
1568043842
Registry record updated Apr 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
128 E Rosemont Ave
Alexandria, VA 22301-2326
Phone
(305) 775-0733
NPI assigned
Apr 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

128 E Rosemont Ave
Alexandria, VA 22301-2326

Mailing address

112 S Pitt St
Alexandria, VA 22314-3112
Phone (305) 775-0733

Other identifiers 2

IdentifierTypeStateIssuer
6535577OtherAMERICAN COUNSELING ASSOCIATION MEMBER ID
418662084OtherAMERICAN COUNSELING ASSOCIATION (ACA) LIABILITY INSURANCE POLICY NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1618704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618704000000",
    "number": "1568043842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S PITT ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143112",
            "telephone_number": "305-775-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E ROSEMONT AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223012326",
            "telephone_number": "305-775-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATMORE",
        "first_name": "GEORGIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-18",
        "last_updated": "2021-04-18",
        "certification_date": "2021-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN COUNSELING ASSOCIATION MEMBER ID",
            "identifier": "6535577",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN COUNSELING ASSOCIATION (ACA) LIABILITY INSURANCE POLICY NUMBER",
            "identifier": "418662084",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2021; 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.