Evelyn V. Whitehead, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701003609 Issued in VA

Practice address

115 E Wythe St
Petersburg, VA 23803

Phone

(804) 733-5383

Fax

(804) 733-5384

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861556615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 DABNEY DR",
            "city": "SUTHERLAND",
            "state": "VA",
            "postal_code": "238859277",
            "telephone_number": "804-862-3432",
            "fax_number": "804-733-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E WYTHE ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-733-5383",
            "fax_number": "804-733-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "EVELYN",
        "middle_name": "V.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "326766",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalise Ariana Weeks, LPC
• Welcome Home Community Services, LLC
• Shelli M Wenzell, PHARMD
• West Petersburg Senior Adult Center
• David Wheeler
• Linda P. Whiteley, NP
• Whole Woman'S Health Alliance
• Boyd Roy Wickizer Jr., M.D.
• Rhonda Wilder, FNP-C
• Stanislaw Z. Wilk, CRNA

• Professional Counselor in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.