Individual provider Active NPI

Caitlin Cavanaugh

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1003438862
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701009289 Issued in VA
Practice address
101 N Lynnhaven Rd Ste 308
Virginia Beach, VA 23452-7523
Phone
(757) 222-4944
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701009289 VA Primary

Addresses

Primary practice location

101 N Lynnhaven Rd Ste 308
Virginia Beach, VA 23452-7523

Mailing address

2325 Sea Shell Rd Apt 302
Virginia Beach, VA 23451-1234

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

LicenseStateTypeSpecialty
0701009289VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Roots Psychotherapy, LLC Professional Current Accepting new patients
Counseling Center of Hampton Roads, LLC Professional CurrentSince Jul 24, 2022 Accepting new patients

Locations

900 Stanhope Gdns
Ste 100
Chesapeake, VA 23320
Phone (757) 222-4944

101 N Lynnhaven Rd
Ste 308
Virginia Beach, VA 23452
Phone (757) 222-4944

4505 Columbus St
Ste 200
Virginia Beach, VA 23462
Phone (757) 222-4944

3704 Pacific Ave
Fl 3
Virginia Beach, VA 23451

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1003438862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 SEA SHELL RD APT 302",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N LYNNHAVEN RD STE 308",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527523",
            "telephone_number": "757-222-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.