Waitkus & Associates, P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701002551 Issued in VA

Legal business name

WAITKUS & ASSOCIATES, P.C.

Practice address

3606 Boulevard
Suite B
Colonial Heights, VA 23834-1341

Phone

(804) 526-9885

Fax

(804) 526-9884

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Pamela Ann Waitkus, ED.,S., LPC, LMFTNPI 1164508420

Title

Director

Phone

(804) 526-9885

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Ann Waitkus, LPC LMFT

  • Professional Counselor
  • Colonial Heights, VA
  • NPI 1164508420

  Professional, VA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1801060355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 BOULEVARD",
            "address_2": "SUITE B",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341341",
            "telephone_number": "804-526-9885",
            "fax_number": "804-526-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 BOULEVARD",
            "address_2": "SUITE B",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341341",
            "telephone_number": "804-526-9885",
            "fax_number": "804-526-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAITKUS & ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "WAITKUS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-526-9885",
        "authorized_official_credential": "ED.,S., LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002551",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Medical Group Sleep Center, LLC
• Virginia Medical Group, PC
• Virginia Surgical Care Center PC
• Virginia Vision Associates, LLC
• Ashley Nicole Waddell, LCSW
• Pamela Ann Waitkus, LPC LMFT
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Margaret Dahmus Walsh, M.D.

• All providers in Colonial Heights, VA
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.