Individual provider Active NPI

Nathaniel Milton, STUDENT

  • Professional Counselor
  • Newport News, VA
National Provider Identifier
1689856668
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
07001013937 Issued in VA
Practice address
707 Gum Rock CT
Newport News, VA 23606-2523
Phone
(757) 873-2273
Fax
(757) 873-9422
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 07010113937 VA
Student in an Organized Health Care Education/Training Program 390200000X VA
Professional Counselor 101YP2500X 07001013937 VA Primary

Addresses

Primary practice location

707 Gum Rock CT
Newport News, VA 23606-2523

Mailing address

707 Gum Rock Court
Newport News, VA 23606
Phone (757) 873-2273

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
I20241028000414 VA Practitioner - Mental Health Counselor 7113450347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Pastoral Counseling Center IncGroup PAC ID 2668802638, 7 clinicians

Practice addresses (Care Compare)

707 Gum Rock CT
Newport News, VA 23606-2523
Phone (757) 873-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001013937VAMDProfessional Counselor
07010113937VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Pastoral Counseling Center Inc. Professional CurrentSince Aug 29, 2024 Accepting new patients

Locations

707 Gum Rock Ct
Newport News, VA 23606
Phone (757) 873-2273

500 Jamestown Rd
Williamsburg, VA 23185

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1689856668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 GUM ROCK COURT",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-873-2273",
            "fax_number": "757-873-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 GUM ROCK CT",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062523",
            "telephone_number": "757-873-2273",
            "fax_number": "757-873-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTON",
        "first_name": "NATHANIEL",
        "credential": "STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "07010113937",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "07001013937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.