Individual provider Active NPI

Marlene Judith Adams, LPC, LMFT

  • Marriage & Family Therapist
  • Virginia Beach, VA
National Provider Identifier
1023027760
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717000231 Issued in VA
Practice address
700 Independence Cir
Suite 3D
Virginia Beach, VA 23455-6405
Phone
(757) 473-8533
Fax
(757) 456-0616
NPI assigned
Aug 5, 2006
Last updated
Oct 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701001164 VA
Marriage & Family Therapist 106H00000X 0717000231 VA Primary

Addresses

Primary practice location

700 Independence Cir
Suite 3D
Virginia Beach, VA 23455-6405

Mailing address

700 Independence Cir
Suite 3D
Virginia Beach, VA 23455-6405
Phone (757) 473-8533

Other identifiers 3

IdentifierTypeStateIssuer
O80075OtherVAOPTIMA/ SENTARA
005402271MedicaidVA
093371OtherVAANTHEM

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
0701001164VAMDProfessional Counselor
0717000231VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Therapy Center P C PastSince Apr 1, 1990 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24900/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marlene.adams.1@24900.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1023027760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 INDEPENDENCE CIR",
            "address_2": "SUITE 3D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556405",
            "telephone_number": "757-473-8533",
            "fax_number": "757-456-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 INDEPENDENCE CIR",
            "address_2": "SUITE 3D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556405",
            "telephone_number": "757-473-8533",
            "fax_number": "757-456-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MARLENE",
        "middle_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001164",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA/ SENTARA",
            "identifier": "O80075",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005402271",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "093371",
            "state": "VA"
        }
    ],
    "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 Oct 1, 2008; 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.