Individual provider Active NPI

David Francis Wisenauer, LPC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1629540307
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008026 Issued in VA
Practice address
1100 First Colonial Rd
Virginia Beach, VA 23454-2403
Phone
(757) 385-0888
NPI assigned
Dec 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008026 VA Primary

Addresses

Primary practice location

1100 First Colonial Rd
Virginia Beach, VA 23454-2403

Mailing address

1100 First Colonial Rd
Virginia Beach, VA 23454-2403
Phone (757) 385-0888

Other practice location 1

3432 Virginia Beach Blvd Fl 3
Virginia Beach, VA 23452-4420
Phone (757) 385-0687

Other identifiers 1

IdentifierTypeStateIssuer
1861562472MedicaidVA

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
I20250718001441 VA Practitioner - Mental Health Counselor 9537675467 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701008026VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Professional CurrentSince Feb 10, 2026 Accepting new patients
City of Virginia Beach CurrentSince May 28, 2025 Accepting new patients
City of Virginia Beach CurrentSince May 28, 2025 Accepting new patients
City of Virginia Beach Human Services Past Accepting new patients

Locations

3432 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 385-0684

3432 Virginia Beach Blvd
Fl 3
Virginia Beach, VA 23452
Phone (757) 385-0684

297 Independence Blvd
Ste 126
Virginia Beach, VA 23462
Phone (757) 385-0511

3143 Magic Hollow Blvd
Ste 200
Virginia Beach, VA 23453
Phone (757) 219-2133

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9229a1fd-2cd1-41dc-9da8-258046291286/

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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1629540307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542403",
            "telephone_number": "757-385-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542403",
            "telephone_number": "757-385-0888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3432 Virginia Beach Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234524420",
            "country_code": "US",
            "telephone_number": "757-385-0687",
            "fax_number": "757-306-5801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISENAUER",
        "first_name": "DAVID",
        "middle_name": "FRANCIS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861562472",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.