Individual provider Active NPI

Marie Sheara Imoh, LPC

  • Mental Health Counselor
  • Winchester, VA
National Provider Identifier
1043749849
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701007107 Issued in VA
Practice address
817 Cedar Creek Grade Ste 202
Winchester, VA 22601-6460
Phone
(540) 550-9180
Fax
(540) 450-2735
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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 0701007107 VA Primary

Addresses

Primary practice location

817 Cedar Creek Grade Ste 202
Winchester, VA 22601-6460

Mailing address

2658 Stoneridge Rd
Winchester, VA 22601-2866
Phone (540) 550-9180

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
0701007107VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness 8 LLC Mental Health Current Accepting new patients

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1043749849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 STONERIDGE RD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012866",
            "telephone_number": "540-550-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 CEDAR CREEK GRADE STE 202",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016460",
            "telephone_number": "540-550-9180",
            "fax_number": "540-450-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMOH",
        "first_name": "MARIE",
        "middle_name": "SHEARA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.