Individual provider Active NPI

Robert Douglas Rubinow II, LPC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1922263680
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005538 Issued in VA
Practice address
828 Saint Martin Dr
Virginia Beach, VA 23455-6160
Phone
(571) 723-6205
NPI assigned
Jul 22, 2008
Last updated
Apr 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005538 VA Primary

Addresses

Primary practice location

828 Saint Martin Dr
Virginia Beach, VA 23455-6160

Mailing address

828 Saint Martin Dr
Virginia Beach, VA 23455-6160
Phone (571) 723-6205

Other practice location 1

7305 Hampton Blvd
Norfolk, VA 23505-2908
Phone (757) 623-2700

Other identifiers 1

IdentifierTypeStateIssuer
1861562472MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113001054 VA Practitioner - Mental Health Counselor 6305374836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Pastoral Counseling Services, IncGroup PAC ID 3072772268, 5 clinicians

Practice addresses (Care Compare)

7305 Hampton Blvd
Norfolk, VA 23505-2908
Phone (757) 623-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701005538VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Pastoral Counseling Services, Inc CurrentSince Nov 15, 2024 Accepting new patients
Genesis Counseling Center, Inc. Professional PastSince Nov 16, 2013 Accepting new patients
Eden Counseling Center PastSince Nov 3, 2009 Accepting new patients

Locations

7305 Hampton Blvd
Norfolk, VA 23505
Phone (757) 623-2700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1922263680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 SAINT MARTIN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556160",
            "telephone_number": "571-723-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 SAINT MARTIN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556160",
            "telephone_number": "571-723-6205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7305 Hampton Blvd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235052908",
            "country_code": "US",
            "telephone_number": "757-623-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBINOW",
        "first_name": "ROBERT",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861562472",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.