Individual provider Active NPI

Anna Beth Czack, LPC

  • Counselor
  • Norfolk, VA
National Provider Identifier
1609635325
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701013344 Issued in VA
Practice address
253 W Bute St
Norfolk, VA 23510-1403
Phone
(757) 578-8240
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701013344 VA Primary

Addresses

Primary practice location

253 W Bute St
Norfolk, VA 23510-1403

Mailing address

1011 Larchmont Cres
Norfolk, VA 23508-1402
Phone (757) 285-6747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509001660 VA Practitioner - Mental Health Counselor 0840631750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward H Tiller PHD PCGroup PAC ID 8426016684, 10 clinicians

Practice addresses (Care Compare)

217 McLaws Cir
Suite 2
Williamsburg, VA 23185-5855
Phone (757) 253-0371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701013344VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mermaid Counseling and Consulting LLC CurrentSince Apr 24, 2024 Accepting new patients
Edward H Tiller PHD PC CurrentSince Dec 21, 2025 Accepting new patients
Rhodium Care Group Inc CurrentSince Jan 3, 2025 Accepting new patients
Thimble Shoals Counseling & Therapy Center PC PastSince Dec 21, 2025 Accepting new patients

Locations

8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611

253 W Bute St
Norfolk, VA 23510
Phone (757) 447-7382

217 McLaws Cir
Ste 2
Williamsburg, VA 23185
Phone (757) 253-0371

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1609635325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LARCHMONT CRES",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235081402",
            "telephone_number": "757-285-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 W BUTE ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101403",
            "telephone_number": "757-578-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZACK",
        "first_name": "ANNA",
        "middle_name": "BETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701013344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.