Virginia Serviss, M.S. MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P82965 Issued in NY

Practice address

1297 Union Ave
Newburgh, NY 12550-1640

Phone

(845) 391-6731

NPI assigned

Apr 2, 2013

Last updated

Apr 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1124361738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 UNION AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501640",
            "telephone_number": "845-391-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 UNION AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501640",
            "telephone_number": "845-391-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVISS",
        "first_name": "VIRGINIA",
        "credential": "M.S. MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P82965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE PERMIT MENTAL HEALTH COUNSELOR",
            "identifier": "P82965",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Seif, MSPSY
• Melad Semaan, DDS
• Marilyn Serbetzian Lashlee, PNP
• Jamie L Serra, OTR,CHT
• Carmen Serrette
• Jonathan Philip Shafer
• Elvina Shagieva, MD
• Anjali N Shah, MD
• Nirav D Shah, MD
• Parth M. Shah, M.D.

• Mental Health Counselor in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.