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Active NPI 1558463430 Individual Practitioner Male Practitioner

Charles L. Koah , LPC

Counselor - Professional • Williamsburg, VA

Professional Overview & Biography Verified Profile Summary

Charles Koah, LPC is a registered healthcare professional specializing in Counselor - Professional in Williamsburg, VA. Practice services are available at 1769 JAMESTOWN RD STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1769 Jamestown Rd Ste 104

Williamsburg, VA 231852300

Telephone 7578713693
Fax 7572201476

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Williamsburg, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
124 Specialists

Practicing in Williamsburg, VA (6609 Statewide)

Telehealth Adoption Rate
11.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License VA 0701001333

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5401968 (VA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2025

Counselor (License #0701001333 in VA)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1769 JAMESTOWN RD STE 104, WILLIAMSBURG, VA 231852300 (Tel: 7578713693)

📍
Updated Business Mailing Address July 09, 2007

Registered at 4712 LADY SLIPPER PATH, WILLIAMSBURG, VA 231882400 (Tel: 7578713693)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as CHARLES KOAH, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (License #0701001333 in VA)

🟢
Initial NPI Registration & Enumeration September 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558463430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2006
Last Update: June 02, 2025
Sole Proprietor: Yes

Mailing Address

4712 Lady Slipper Path

Williamsburg, VA 231882400

Phone: 7578713693

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.