Active NPI
David Francis Wisenauer, LPC
- Professional Counselor
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701008026
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861562472 | Medicaid | VA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701008026 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Professional | Current | Accepting new patients |
| City of Virginia Beach | Current | Accepting new patients | |
| City of Virginia Beach | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1861562472
-
- Ambulance
- Virginia Beach, VA
- NPI 1013704246
-
- Non-emergency Medical Transport (VAN)
- Virginia Beach, VA
- NPI 1396238424
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.