Active NPI
Bruce A Louis
- Mental Health Counselor
- Chesterfield, VA
National Provider Identifier
1972114759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60809541
- Practice address
- 15607 Chesdin Manor Dr
Chesterfield, VA 23838-4520 - Phone
- (360) 485-6212
- Fax
- (804) 451-9078
- NPI assigned
- Aug 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 60809541 | WA | Primary |
Addresses
Primary practice location
15607 Chesdin Manor Dr
Chesterfield, VA 23838-4520
Mailing address
PO Box 1704
Chesterfield, VA 23832-9107
Phone (360) 485-6212
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60809541 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Move in Faith Counseling Services, PLLC | Counselor | Current | Accepting new patients |
| Key Counseling PLLC | Mental Health | Past | Accepting new patients |
Locations
719 Sleater Kinney Rd SE
Ste 212
Olympia, WA 98503
Phone (360) 509-0724
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1144059395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1972114759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1704",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238329107",
"telephone_number": "360-485-6212",
"fax_number": "804-451-9078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15607 CHESDIN MANOR DR",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238384520",
"telephone_number": "360-485-6212",
"fax_number": "804-451-9078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUIS",
"first_name": "BRUCE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-13",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "60809541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.