Edgardo Enrique Rocha

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011684 Issued in VA

Practice address

228 N Lynnhaven Rd Ste 118
Virginia Beach, VA 23452-7514

Phone

(757) 456-0093

NPI assigned

Nov 14, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Recovery for the City International Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Virginia Beach, VA
  • NPI 1316597537
  Medicare reassignment NPD

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1013552900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N LYNNHAVEN RD STE 118",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527514",
            "telephone_number": "757-456-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N LYNNHAVEN RD STE 118",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527514",
            "telephone_number": "757-456-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "EDGARDO",
        "middle_name": "ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103396",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronika Alice Robinson, PMHNP-BC
• Samuel Pomeroy Robinson, M.D.
• Yashona Robinson, ATC
• Molly Robison
• Bianca Robles
• Emma Kay Roche, OTR/L
• Megan Roche, LPC
• Peter Michael Roche, IDC
• Jennifer Mariah Rochester, LPTA
• Amanda J Rockinson-Szapkiw, LPC

• Professional Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.