NPIMap

Organization Active NPI

Mermaid Counseling and Consulting LLC

  • Mental Health Counselor
  • Norfolk, VA
National Provider Identifier
1114694098
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MERMAID COUNSELING AND CONSULTING LLC
Practice address
253 W Bute St
Norfolk, VA 23510-1403
Phone
(757) 715-2083
NPI assigned
Aug 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Krystin RizzoNPI 1578036745
Title
Owner
Phone
(757) 715-2083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

253 W Bute St
Norfolk, VA 23510-1403

Mailing address

1718 Lafayette Blvd
Norfolk, VA 23509-1116
Phone (757) 715-2083

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL simplepractice.com Direct
CONNECT URL mermaidcounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230525000818 VA Part B Supplier - Clinic/Group Practice 0749646271 Receives reassigned benefits from 13 practitioners
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

253 W Bute St
Norfolk, VA 23510
Phone (757) 447-7382

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1114694098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 LAFAYETTE BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235091116",
            "telephone_number": "757-715-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 W BUTE ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101403",
            "telephone_number": "757-715-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERMAID COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "RIZZO",
        "authorized_official_first_name": "KRYSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-715-2083"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "address",
            "address_1": "736 Maryland Ave Unit A",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235082826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mermaidcounseling.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "253 W Bute St",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235101403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.