Active NPI
Lana Tucker Williams, ACSW LCSW
- Mental Health Counselor
- Portsmouth, VA
National Provider Identifier
1760412183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0904002165
- Practice address
- 3300 Academy Ave
Portsmouth, VA 23703-3205 - Phone
- (757) 483-6404
- Fax
- (757) 483-0737
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0904002165 | VA | Primary |
Addresses
Primary practice location
3300 Academy Ave
Portsmouth, VA 23703-3205
Mailing address
3300 Academy Avenue
Portsmouth, VA 23703-3205
Phone (757) 483-6404
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 452681 | Other | VA | MAMSI |
| 753149110 | Other | VA | COMMERCIAL |
| 010063523 | Medicaid | VA | |
| 044796 | Other | VA | VALUE OPTIONS |
| 116162 | Other | VA | VA. BL BS |
| 234673 | Other | VA | COM PSYCH |
| 7531491 | Other | VA | CHAMPUS/TRICARE |
| 089195 | Other | VA | OPTIMA MH |
| 7882412 | Other | VA | AETNA |
| 131949 | Other | VA | MHN |
| 060612000 | Other | VA | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Past | Accepting new patients | |
| Comprehensive Psychological Services | Mental Health | Past | Accepting new patients |
| Child & Family Services of Eastern Virginia, Inc | Past | Accepting new patients | |
| Chapman Senior Care, Inc. | Past | Accepting new patients | |
| Western Tidewater Community Mental | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Clinical Social Worker
- Richmond, VA
- NPI 1669439691
-
- Community/Behavioral Health Agency
- Norfolk, VA
- NPI 1629158159
-
- Professional Counselor
- Chesapeake, VA
- NPI 1598861387
Mental Health
-
- Psychiatry Physician
- Portsmouth, VA
- NPI 1821421454
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Suffolk, VA
- NPI 1689615296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1760412183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 ACADEMY AVENUE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237033205",
"telephone_number": "757-483-6404",
"fax_number": "757-483-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 ACADEMY AVE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237033205",
"telephone_number": "757-483-6404",
"fax_number": "757-483-0737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LANA",
"middle_name": "TUCKER",
"name_prefix": "Ms.",
"credential": "ACSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0904002165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "452681",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "753149110",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010063523",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "044796",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA. BL BS",
"identifier": "116162",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COM PSYCH",
"identifier": "234673",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "7531491",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA MH",
"identifier": "089195",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7882412",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "131949",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "060612000",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.