Individual provider Active NPI

Maya Shenea Richardson, LPC

  • Professional Counselor
  • Hampton, VA
National Provider Identifier
1043100258
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701015007 Issued in VA
Practice address
2 Eaton St Ste 1103
Hampton, VA 23669-4054
Phone
(757) 838-1894
Fax
(757) 838-1895
NPI assigned
Jul 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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 0701015007 VA Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

2 Eaton St Ste 1103
Hampton, VA 23669-4054

Mailing address

3601 Hollyberry St
Hampton, VA 23661-3524
Phone (757) 660-9482

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
0701015007VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Services, LLC CurrentSince Jul 13, 2025 Accepting new patients

Locations

2 Eaton St
Ste 1103
Hampton, VA 23669
Phone (757) 838-1894

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1043100258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HOLLYBERRY ST",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236613524",
            "telephone_number": "757-660-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EATON ST STE 1103",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694054",
            "telephone_number": "757-838-1894",
            "fax_number": "757-838-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MAYA",
        "middle_name": "SHENEA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015007",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.