Betty Mendoza

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

0735001094 Issued in VA

Practice address

9313 Sloane St
Norfolk, VA 23503-4329

Phone

(757) 985-4740

Fax

(757) 985-4718

NPI assigned

Oct 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marage Homes LLC

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1477910511
  NPD

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1144042771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 MYRTLE AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233253826",
            "telephone_number": "936-718-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 SLOANE ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235034329",
            "telephone_number": "757-985-4740",
            "fax_number": "757-985-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "BETTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0734010394",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "VA",
            "license": "0735001094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Ann Menachery
• Kirstie Menard, D.O.
• Sunil Swarup Menawat, MD
• Jorge Omar Mendez, OTAS/L
• Philip Manuel Mendez, DO, MPH
• Austin Menezes, MD
• Maya Menon, MD
• Merakey Allos
• James W Merced Sr.
• Angela Myra Mercer, M.D.

• Peer Specialist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Peer Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.