Individual provider Active NPI

Arielle Shipp, LPC, PMH-C

  • Professional Counselor
  • Suffolk, VA
National Provider Identifier
1043828924
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012522 Issued in VA
Practice address
109 Clay St
Suffolk, VA 23434-5205
Phone
(757) 965-8663
Fax
(757) 539-8834
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701012522 VA Primary

Addresses

Primary practice location

109 Clay St
Suffolk, VA 23434-5205

Mailing address

109 Clay St
Suffolk, VA 23434-5205
Phone (757) 965-8663

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240606003263 VA Practitioner - Mental Health Counselor 4981146883 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701012522VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Services of Eastern Virginia, Inc CurrentSince Mar 19, 2024 Accepting new patients
Child and Family Services of Eastern Virginia PastSince Jul 1, 2020 Accepting new patients

Locations

580 E Main St
Ste 400
Norfolk, VA 23510

222 W 19th St
Norfolk, VA 23517
Phone (757) 622-7017

1805 Airline Blvd
Portsmouth, VA 23707
Phone (757) 337-3557

109 Clay St
Suffolk, VA 23434
Phone (757) 539-7971

Organizations & group practices 2

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1043828924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CLAY ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345205",
            "telephone_number": "757-965-8663",
            "fax_number": "757-539-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CLAY ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345205",
            "telephone_number": "757-965-8663",
            "fax_number": "757-539-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "ARIELLE",
        "credential": "LPC, PMH-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.