Organization Active NPI

Lantz Psychological and Wellness

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1740042043
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LANTZ PSYCHOLOGICAL AND WELLNESS
Practice address
4445 Corporation LN Ste 200
Virginia Beach, VA 23462-3262
Phone
(757) 213-6961
Fax
(757) 687-0702
NPI assigned
Jan 23, 2024
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Sharon Pilati Lantz, LPCNPI 1669585204
Title
President/ LPC
Phone
(757) 213-6961

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

4445 Corporation LN Ste 200
Virginia Beach, VA 23462-3262

Mailing address

4445 Corporation LN Ste 200
Virginia Beach, VA 23462-3262
Phone (757) 213-6961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240612001036 VA Part B Supplier - Clinic/Group Practice 6406398973 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

4445 Corporation Ln
Ste 200
Virginia Beach, VA 23462
Phone (757) 213-6867

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1740042043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 CORPORATION LN STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623262",
            "telephone_number": "757-213-6961",
            "fax_number": "757-687-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 CORPORATION LN STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623262",
            "telephone_number": "757-213-6961",
            "fax_number": "757-687-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTZ PSYCHOLOGICAL AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "LANTZ",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "PILATI",
        "authorized_official_title_or_position": "PRESIDENT/ LPC",
        "authorized_official_telephone_number": "757-213-6961",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.