Individual provider Active NPI

Jeffrey David Watros, LPC, LMFT

  • Professional Counselor
  • Weyers Cave, VA
National Provider Identifier
1821242793
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002463 Issued in VA
Practice address
76 S Foxhall LN
Weyers Cave, VA 24486-2446
Phone
(540) 234-8187
NPI assigned
Nov 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701002463 VA Primary
Marriage & Family Therapist 106H00000X 0717000642 VA

Addresses

Primary practice location

76 S Foxhall LN
Weyers Cave, VA 24486-2446

Mailing address

PO Box 1822
Harrisonburg, VA 22801-9500
Phone (540) 234-8187

Other identifiers 2

IdentifierTypeStateIssuer
0701002463OtherVALICENSED PROFESSIONAL COUNSELOR
0717000642OtherVALICENSED MARRIAGE AND FAMILY THERAPIST

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

State licenses

LicenseStateTypeSpecialty
0701002463VAMDProfessional Counselor
0717000642VAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1821242793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1822",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228019500",
            "telephone_number": "540-234-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 S FOXHALL LN",
            "city": "WEYERS CAVE",
            "state": "VA",
            "postal_code": "244862446",
            "telephone_number": "540-234-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATROS",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002463",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "0701002463",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "0717000642",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weyers Cave, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.