Individual provider Active NPI

Dejah Niles-Bogger

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1104741040
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704019415 Issued in VA
Practice address
249 Central Park Ave Ste 300
Virginia Beach, VA 23462-3271
Phone
(757) 524-1318
NPI assigned
Aug 11, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 0704019415 VA Primary

Addresses

Primary practice location

249 Central Park Ave Ste 300
Virginia Beach, VA 23462-3271

Mailing address

249 Central Park Ave Ste 300
Virginia Beach, VA 23462-3271
Phone (757) 524-1318

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

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1104741040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 CENTRAL PARK AVE STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623271",
            "telephone_number": "757-524-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 CENTRAL PARK AVE STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623271",
            "telephone_number": "757-524-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES-BOGGER",
        "first_name": "DEJAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704019415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.