RICHARD WYATT LPC CSOTP NPI 1932998648

NPI Information

  • NPI: 1932998648
  • Provider Name: RICHARD WYATT, LPC, CSOTP
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 4004 GENESEE PL STE 201
    WOODBRIDGE, VA
    ZIP 22192
  • Phone: (703) 596-2344

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NPI Details

Richard Wyatt, LPC, CSOTP is a mental health counselor in Woodbridge, VA. Richard Wyatt, LPC, CSOTP NPI is 1932998648. 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:

4004 GENESEE PL STE 201
WOODBRIDGE, VA
ZIP 22192-305
Phone: (703) 596-2344

The enumeration date for this NPI number is 5/1/2025 and was last updated on 9/11/2025.

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
1101YP2500XCounselorProfessional0701014655VIRGINIANo
2101Y00000XCounselor0701014655VIRGINIANo
3101YM0800XCounselorMental Health0701014655VIRGINIAYes

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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