Individual provider Active NPI

Indinesya Zhao

  • Professional Counselor
  • North Chesterfield, VA
National Provider Identifier
1134871064
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013168 Issued in VA
Practice address
804 Moorefield Park Dr Ste 204
North Chesterfield, VA 23236-3670
Phone
(804) 390-5704
NPI assigned
Jan 21, 2022
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701013168 VA Primary

Addresses

Primary practice location

804 Moorefield Park Dr Ste 204
North Chesterfield, VA 23236-3670

Mailing address

804 Moorefield Park Dr Ste 204
North Chesterfield, VA 23236-3670
Phone (804) 390-5704

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

State licenses

LicenseStateTypeSpecialty
0701013168VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Moods LLC Mental Health CurrentSince Apr 1, 2024 Accepting new patients

Locations

804 Moorefield Park Dr
Ste 204
North Chesterfield, VA 23236
Phone (804) 372-3737

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, 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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1134871064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 MOOREFIELD PARK DR STE 204",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363670",
            "telephone_number": "804-390-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 MOOREFIELD PARK DR STE 204",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363670",
            "telephone_number": "804-390-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "INDINESYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.