Active NPI
Lucid Living Counseling
- Adult Mental Health Clinic/Center
- Norfolk, VA
National Provider Identifier
1649095654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- LUCID LIVING COUNSELING
- Practice address
- 6350 Center Dr Ste 102
Norfolk, VA 23502-4107 - Phone
- (309) 838-0152
- NPI assigned
- Nov 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bethany Nicole Donovan, LPC
- Title
- Manager
- Phone
- (309) 838-0152
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
6350 Center Dr Ste 102
Norfolk, VA 23502-4107
Mailing address
6312 Bucknell Cir
Virginia Beach, VA 23464-4420
Phone (309) 838-0152
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Norfolk, VA
- NPI 1396242319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732492800000",
"number": "1649095654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6312 BUCKNELL CIR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234644420",
"telephone_number": "309-838-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 CENTER DR STE 102",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024107",
"telephone_number": "309-838-0152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCID LIVING COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A",
"authorized_official_last_name": "DONOVAN",
"authorized_official_first_name": "BETHANY",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "309-838-0152",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"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 Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.