Individual provider Active NPI

Chrystal N Davis, LPC

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1013697432
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3386 Holland Rd Ste 101
Virginia Beach, VA 23452-4818
Phone
(757) 343-6575
Fax
(757) 500-0101
NPI assigned
Jul 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3386 Holland Rd Ste 101
Virginia Beach, VA 23452-4818

Mailing address

3386 Holland Rd Ste 101
Virginia Beach, VA 23452-4818
Phone (757) 343-6575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240604000437 VA Practitioner - Mental Health Counselor 0941742175 Reassigns benefits to 2 organizations
I20240829001243 DC Practitioner - Mental Health Counselor 0941742175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
I Am Whole LLC Current Accepting new patients
Mermaid Counseling and Consulting LLC Mental Health CurrentSince May 6, 2024 Accepting new patients
Amazing Counseling LLC CurrentSince Jul 23, 2023 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jul 26, 2024 Accepting new patients
Divas, Inc PastSince Jul 23, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

253 W Bute St
Norfolk, VA 23510
Phone (757) 447-7382

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

3386 Holland Rd
Ste 101
Virginia Beach, VA 23452
Phone (757) 343-6575

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
  • KY PPO

Organizations & group practices 5

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1013697432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3386 HOLLAND RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524818",
            "telephone_number": "757-343-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3386 HOLLAND RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524818",
            "telephone_number": "757-343-6575",
            "fax_number": "757-500-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHRYSTAL",
        "middle_name": "N",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.