Individual provider Active NPI

Jessica Carol Walters Houston, LPC, NCC

  • Mental Health Counselor
  • Newport News, VA
National Provider Identifier
1801450465
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701008306 Issued in VA
Practice address
17579 Warwick Blvd
Newport News, VA 23603-1343
Phone
(757) 888-0400
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701008306 VA Primary

Addresses

Primary practice location

17579 Warwick Blvd
Newport News, VA 23603-1343

Mailing address

136 Pine Creek Dr
Hampton, VA 23669-1244
Phone (757) 449-7600

Other names 1

  • Jessica Carol Houston Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701008306VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Hospital Inc CurrentSince Aug 26, 2024 Accepting new patients
Riverside Hospital Inc Current Accepting new patients
Riverside Hospital Inc. CurrentSince Aug 26, 2024 Accepting new patients

Locations

2244 Executive Dr
Hampton, VA 23666
Phone (757) 827-1001

10510 Jefferson Ave
Ste E
Newport News, VA 23601
Phone (757) 594-2846

10510 Jefferson Ave
Ste A
Newport News, VA 23601
Phone (757) 594-3800

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1801450465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 PINE CREEK DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691244",
            "telephone_number": "757-449-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17579 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236031343",
            "telephone_number": "757-888-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS HOUSTON",
        "first_name": "JESSICA",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701008306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HOUSTON",
            "middle_name": "CAROL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.