Mariah Bainbridge, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701013052 Issued in VA

Practice address

780 Lynnhaven Pkwy Ste 110
Virginia Beach, VA 23452-7351

Phone

(804) 207-6737

Fax

(757) 301-8803

NPI assigned

Feb 15, 2022

Last updated

Aug 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mariah Gavano Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.mariahbainbridge@134000.advancedmd-direct.com

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.

• Commonwealth Counseling Associates Inc

  dba LifeStance Health

  • Clinical Psychologist
  • Mechanicsville, VA
  • NPI 1851345805

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1053066423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527351",
            "telephone_number": "804-207-6737",
            "fax_number": "757-301-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527351",
            "telephone_number": "804-207-6737",
            "fax_number": "757-301-8803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Lynnhaven Pkwy Ste 340",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527361",
            "country_code": "US",
            "telephone_number": "804-207-6737",
            "fax_number": "757-301-8803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAINBRIDGE",
        "first_name": "MARIAH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704014637",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "GAVANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monica Jane Bailey, FNP
• Rebecca Bailey, LCSW
• Sheila Ann Bailey, R.D.,
• Stacie Bailey, RN
• Briana Bain
• Katlyn Elizabeth Baines, BCBA, LBA
• Lauren Baines
• Ahnya Baird
• Brennan Baker, PMHNP
• Daryl O. Baker

• Professional Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.