Active NPI
Ann Marie Stark, M.A., LPCC/LPC, LAC
- Mental Health Counselor
- Virginia Beach, VA
National Provider Identifier
1083007959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 550-2-15-06-196
- Practice address
- 770 Lynnhaven Pkwy
Suite 240
Virginia Beach, VA 23452-7324 - Phone
- (757) 802-4500
- NPI assigned
- Mar 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1544 | ND | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0718000251 | VA | |
| Mental Health Counselor | 101YM0800X | 550-2-15-06-196 | ND | Primary |
| Mental Health Counselor | 101YM0800X | 0701005841 | VA |
Addresses
Primary practice location
770 Lynnhaven Pkwy
Suite 240
Virginia Beach, VA 23452-7324
Mailing address
770 Lynnhaven Pkwy
Suite 240
Virginia Beach, VA 23452-7324
Phone (757) 802-4500
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0718000251 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0701005841 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Psychiatric Group PC | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6887/brand/1/csg/1/fhir/r4
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": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1083007959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 LYNNHAVEN PKWY",
"address_2": "SUITE 240",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527324",
"telephone_number": "757-802-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 LYNNHAVEN PKWY",
"address_2": "SUITE 240",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527324",
"telephone_number": "757-802-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "M.A., LPCC/LPC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-16",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ND",
"license": "1544",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0718000251",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ND",
"license": "550-2-15-06-196",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701005841",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Jessica Grace Staples
- Stardust Applications, LLC (Stardust ABA)
- Starfish Pharmacy LLC (Starfish Pharmacy)
- Taylor Jossalyn Starkey
- Shannon Owens Starkweather, FNP - S
- Jasmine Starr, NP
- Starr's Home Health Care LLC
- Starting New Collaborative, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.