Organization Active NPI

Emotional Wellness Counseling Center, PLLC

  • Professional Counselor
  • Williamsburg, VA
National Provider Identifier
1609549211
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EMOTIONAL WELLNESS COUNSELING CENTER, PLLC
Practice address
1158 Professional Dr Ste N
Williamsburg, VA 23185-6618
Phone
(757) 844-7192
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Carter SummervilleNPI 1013513274
Title
Owner
Phone
(757) 844-7192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1158 Professional Dr Ste N
Williamsburg, VA 23185-6618

Mailing address

382 Fenton Mill Rd
Williamsburg, VA 23188-1858
Phone (757) 844-7192

Other practice location 1

17389 Parham Landing Ct Ste 10
West Point, VA 23181-9488
Phone (757) 844-7192

National Provider Directory

National Provider Directory

Locations

1158 Professional Dr
Ste N
Williamsburg, VA 23185
Phone (540) 693-0398

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": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1609549211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 FENTON MILL RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881858",
            "telephone_number": "757-844-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 PROFESSIONAL DR STE N",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856618",
            "telephone_number": "757-844-7192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17389 Parham Landing Ct Ste 10",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "VA",
            "postal_code": "231819488",
            "country_code": "US",
            "telephone_number": "757-844-7192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMOTIONAL WELLNESS COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "SUMMERVILLE",
        "authorized_official_first_name": "CARTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-844-7192"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.