Organization Active NPI

Robin Shelton, LCSW, PLLC

Doing business as Life Watch Therapy & Counseling

  • Mental Health Counselor
  • Chesapeake, VA
National Provider Identifier
1790462463
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ROBIN SHELTON, LCSW, PLLC
Doing business as
Life Watch Therapy & Counseling
Practice address
213 Habitat Xing
Chesapeake, VA 23320-4014
Phone
(757) 335-1541
NPI assigned
Jul 3, 2023
Last updated
Jul 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Robin Shelton, MSWNPI 1801867247
Title
LCSW
Phone
(757) 335-1541

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

213 Habitat Xing
Chesapeake, VA 23320-4014

Mailing address

PO Box 1094
Chesapeake, VA 23327-1094
Phone (757) 335-1541

Other names 1

  • Life Watch Therapy & Counseling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230920002274 VA Part B Supplier - Clinic/Group Practice 4587018890 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1790462463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1094",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233271094",
            "telephone_number": "757-335-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HABITAT XING",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204014",
            "telephone_number": "757-335-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN SHELTON, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "757-335-1541",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Watch Therapy & Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.