Williamsburg Counseling and Wellness Center, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILLIAMSBURG COUNSELING AND WELLNESS CENTER, LLC

Practice address

1101 Professional Dr
Williamsburg, VA 23185-3301

Phone

(757) 344-1701

Fax

(757) 644-1476

NPI assigned

Nov 15, 2018

Last updated

Nov 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keri Willis-Higgons, LPCNPI 1033395694

Title

Owner

Phone

(757) 344-1701

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keri Willis-Higgons, L.P.C.

  • Mental Health Counselor
  • Williamsburg, VA
  • NPI 1033395694
  NPD Authorized official

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1932678265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853301",
            "telephone_number": "757-344-1701",
            "fax_number": "757-644-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853301",
            "telephone_number": "757-344-1701",
            "fax_number": "757-644-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG COUNSELING AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "WILLIS-HIGGONS",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-344-1701",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williamsburg Area Medical Assistance Corporation (Olde Towne Medical Center)
• Williamsburg Area Medical Assistance Corporation (Olde Towne Medical Center)
• Williamsburg Center for Dental Health
• Williamsburg Chiropractic Clinic
• Williamsburg Counseling
• Williamsburg Dental Group PLC
• Williamsburg Dental Group PLC
• Williamsburg Dermatology Inc
• Williamsburg Drug Co Inc
• Williamsburg Drug Co Inc (Williamsburg Drug 1963)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.