MR. CHARLES L. KOAH LPC NPI 1558463430

NPI Information

  • NPI: 1558463430
  • Provider Name: MR. CHARLES L. KOAH, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1769 JAMESTOWN RD STE 104
    WILLIAMSBURG, VA
    ZIP 23185
  • Phone: (757) 871-3693

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NPI Details

MR. Charles L. Koah, LPC is a professional counselor in Williamsburg, VA. MR. Charles L. Koah, LPC NPI is 1558463430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1769 JAMESTOWN RD STE 104
WILLIAMSBURG, VA
ZIP 23185-300
Phone: (757) 871-3693
Fax: (757) 220-1476

The enumeration date for this NPI number is 9/2/2006 and was last updated on 6/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional0701001333VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15401968MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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