Organization Active NPI

Karen Woodhouse, LLC

  • Adult Mental Health Clinic/Center
  • Norfolk, VA
National Provider Identifier
1629588769
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
0904006013 Issued in VA
Legal business name
KAREN WOODHOUSE, LLC
Practice address
919 W 21St St Ste B
Norfolk, VA 23517-1559
Phone
(757) 622-6794
NPI assigned
Oct 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Authorized official

Name
Karen Anne Woodhouse, LCSWNPI 1346637873
Title
Licensed Clinical Social Worker
Phone
(757) 544-4427

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
Adult Mental Health Clinic/Center 261QM0850X 0904006013 VA Primary

Addresses

Primary practice location

919 W 21St St Ste B
Norfolk, VA 23517-1559

Mailing address

100 Willow Wood Dr Apt A5
Norfolk, VA 23505-4830
Phone (757) 544-4427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180102001976 VA Part B Supplier - Clinic/Group Practice 7810255411 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

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": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1629588769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLOW WOOD DR APT A5",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054830",
            "telephone_number": "757-544-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W 21ST ST STE B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171559",
            "telephone_number": "757-622-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN WOODHOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "WOODHOUSE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "757-544-4427",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0904006013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.