Carole Lee, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011281 Issued in VA

Practice address

707 Gittings St Ste 120
Suffolk, VA 23434-6101

Phone

(757) 514-3248

Fax

(757) 809-5387

NPI assigned

Mar 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Wishing Well Counseling Center, PLLC

  • Mental Health Counselor
  • Suffolk, VA
  • NPI 1689042780
  NPD
• Wishing Well Mental Health Services, LLC

  • Community/Behavioral Health Agency
  • Suffolk, VA
  • NPI 1376274514
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1720736671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 CRAFTSMAN CIR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234341530",
            "telephone_number": "757-698-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 GITTINGS ST STE 120",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346101",
            "telephone_number": "757-514-3248",
            "fax_number": "757-809-5387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Wythe Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Poquoson",
            "state": "VA",
            "postal_code": "236621975",
            "country_code": "US",
            "telephone_number": "757-868-0072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CAROLE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke A Lathon, NP
• Karen Lavezzo
• Chantelle Lawani, RBT
• Lean on Me HHC Inc.
• Laquisha Leath
• Edwin Jin Su Lee, M.D.
• Frank Wallace Lee, MD
• Lauren Victoria Lee, MOTR/L
• Monique McCarter Lee, MD
• Sion David Lee, DDS

• Professional Counselor in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.