Individual provider Active NPI

Cynthia Williams

  • Mental Health Counselor
  • Chesapeake, VA
National Provider Identifier
1639808751
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
115 Coastal Way
Chesapeake, VA 23320-4603
Phone
(757) 609-3115
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

115 Coastal Way
Chesapeake, VA 23320-4603

Mailing address

1425 Battlefield Blvd N # 1027
Chesapeake, VA 23320-4585
Phone (757) 609-3115

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL expandhealrestore.clientsecure.me Wholistic Resolutions, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wholistic Resolutions, LLC Mental Health CurrentSince Jun 12, 2022 Accepting new patients

Locations

115 Coastal Way
Chesapeake, VA 23320
Phone (757) 436-3150

1425 Battlefield Blvd N
#1027
Chesapeake, VA 23320

Organizations & group practices 1

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1639808751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BATTLEFIELD BLVD N # 1027",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204585",
            "telephone_number": "757-609-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COASTAL WAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204603",
            "telephone_number": "757-609-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "expandhealrestore.clientsecure.me",
            "affiliation": "Y",
            "affiliationName": "Wholistic Resolutions, LLC",
            "address_1": "115 Coastal Way",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233204603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.