Individual provider Active NPI

Megan A Sweeney, LPC, CSAC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1114030608
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003603 Issued in VA
Practice address
256 N Witchduck Rd
Suite G
Virginia Beach, VA 23462-6544
Phone
(757) 497-3670
Fax
(757) 499-1947
NPI assigned
Aug 17, 2006
Last updated
Mar 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710101795 VA
Professional Counselor 101YP2500X 0701003603 VA Primary

Addresses

Primary practice location

256 N Witchduck Rd
Suite G
Virginia Beach, VA 23462-6544

Mailing address

256 N Witchduck Rd
Suite G
Virginia Beach, VA 23462-6544
Phone (757) 497-3670

Other identifiers 4

IdentifierTypeStateIssuer
010272271MedicaidVA
193180OtherVABLUE CROSS BLUE SHEILD
379096OtherVATRICARE
AO802344MOtherVASENTARA OPTIMA PPO/POS

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
I20240425004128 VA Practitioner - Mental Health Counselor 4981044849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairfield Psychological Assoc.Group PAC ID 0244268654, 9 clinicians

Practice addresses (Care Compare)

5265 Providence Rd
Suite 500
Virginia BCH, VA 23464-4210
Phone (757) 467-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0710101795VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Psychological Assoc. CurrentSince Feb 21, 2024 Accepting new patients
Tidewater Psychotherapy Services Addiction (Substance Use Disorder) PastSince Apr 1, 2005 Accepting new patients

Locations

5265 Providence Rd
Ste 500
Virginia Beach, VA 23464
Phone (757) 354-5379

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1114030608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 N WITCHDUCK RD",
            "address_2": "SUITE G",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626544",
            "telephone_number": "757-497-3670",
            "fax_number": "757-499-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 N WITCHDUCK RD",
            "address_2": "SUITE G",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626544",
            "telephone_number": "757-497-3670",
            "fax_number": "757-499-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "MEGAN",
        "middle_name": "A",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710101795",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010272271",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "193180",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "379096",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA OPTIMA PPO/POS",
            "identifier": "AO802344M",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.