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NPI Code Detail

MEDICARE: MR. RICHARD KUBILUS JR. LPC

MEDICARE: MR. RICHARD KUBILUS JR. LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701015889VA

General Provider Information

NPI Number : 1528912789
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD KUBILUS JR. LPC
Provider Business Mailing Address
First Line : 1316 W 39TH ST
Second Line :
City : NORFOLK
State : VA
Zip : 23508-2337
Country : US
Telephone Number : 757-630-4981
Fax Number :
Provider Business Practice Location Address
First Line : 5040 CORPORATE WOODS DR STE 150
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-4383
Country : US
Telephone Number : 757-780-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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