Active NPI
Donald Henck, PH.D.
- Professional Counselor
- Wirtz, VA
National Provider Identifier
1811077316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701000685
- Practice address
- 773 Three Quarter Point Rd
Wirtz, VA 24184 - Phone
- (804) 240-2874
- NPI assigned
- Oct 17, 2006
- Last updated
- May 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701000685 | VA | Primary |
Addresses
Primary practice location
773 Three Quarter Point Rd
Wirtz, VA 24184
Mailing address
773 Three Quarter Point Rd
Wirtz, VA 24184
Phone (804) 240-2874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005405823 | Medicaid | VA |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701000685 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1811077316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "773 THREE QUARTER POINT RD",
"city": "WIRTZ",
"state": "VA",
"postal_code": "24184",
"telephone_number": "804-240-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "773 THREE QUARTER POINT RD",
"city": "WIRTZ",
"state": "VA",
"postal_code": "24184",
"telephone_number": "804-240-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENCK",
"first_name": "DONALD",
"name_prefix": "Mr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701000685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005405823",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wirtz, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.