Organization Active NPI

Living Well Counseling, LLC

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1851069363
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVING WELL COUNSELING, LLC
Practice address
5267 Greenwich Rd Ste 301B
Virginia Beach, VA 23462-6043
Phone
(757) 542-0032
Fax
(833) 996-3339
NPI assigned
Aug 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Valerie L Mitchell, LPCNPI 1396838454
Title
Owner
Phone
(757) 542-0032

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5267 Greenwich Rd Ste 301B
Virginia Beach, VA 23462-6043

Mailing address

945 12TH St
Virginia Beach, VA 23451-4395
Phone (757) 542-0032

Other practice location 1

1145 Gaskins Rd Ste 103
Richmond, VA 23238-5236
Phone (804) 277-9181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240216000514 VA Part B Supplier - Clinic/Group Practice 1759725823 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

1145 Gaskins Rd
Ste 103
Richmond, VA 23238
Phone (804) 277-9181

5267 Greenwich Rd
Ste 301B
Virginia Beach, VA 23462
Phone (757) 542-0032

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1851069363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 12TH ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514395",
            "telephone_number": "757-542-0032",
            "fax_number": "833-996-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5267 GREENWICH RD STE 301B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626043",
            "telephone_number": "757-542-0032",
            "fax_number": "833-996-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Gaskins Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232385236",
            "country_code": "US",
            "telephone_number": "804-277-9181",
            "fax_number": "833-996-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVING WELL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-542-0032",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.