Individual provider Active NPI

Elizabeth Ruth Wieschhaus

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1750891263
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014096 Issued in VA
Practice address
1216 Granby St Ste 211
Norfolk, VA 23510-2622
Phone
(757) 632-0343
NPI assigned
Oct 10, 2017
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 465461304 IL
Professional Counselor 101YP2500X 0701014096 VA Primary

Addresses

Primary practice location

1216 Granby St Ste 211
Norfolk, VA 23510-2622

Mailing address

1216 Granby St Ste 211
Norfolk, VA 23510-2622

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
I20250924004074 VA Practitioner - Mental Health Counselor 6507361177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1216 Granby St
Suite 211
Norfolk, VA 23510-2601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
465461304ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Redefine Therapy, LLC Professional CurrentSince Aug 19, 2025 Accepting new patients

Locations

1216 Granby St
Ste 211
Norfolk, VA 23510
Phone 75724165851

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1750891263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 GRANBY ST STE 211",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 GRANBY ST STE 211",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102622",
            "telephone_number": "757-632-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESCHHAUS",
        "first_name": "ELIZABETH",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "465461304",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.