Individual provider Active NPI

Patricia Ann Smith, LPC, LMFT

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1154331767
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701001263 Issued in VA
Practice address
4509 Whitechapel Dr
Virginia Beach, VA 23455-6447
Phone
(757) 460-4655
Fax
(757) 460-7744
NPI assigned
Aug 8, 2006
Last updated
May 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2010

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 0701001263 VA Primary

Addresses

Primary practice location

4509 Whitechapel Dr
Virginia Beach, VA 23455-6447

Mailing address

4509 Whitechapel Dr
Virginia Beach, VA 23455-6447
Phone (757) 460-4655

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
I20241018002551 VA Practitioner - Mental Health Counselor 7315479086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meridian Psychotherapy Services LLCGroup PAC ID 3173910551, 4 clinicians

Practice addresses (Care Compare)

4509 Whitechapel Dr
Virginia Beach, VA 23455-6447
Phone (757) 460-4655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701001263VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Psychotherapy Services, LLC Professional CurrentSince Sep 5, 2024 Accepting new patients

Locations

4509 Whitechapel Dr
Virginia Beach, VA 23455
Phone (757) 460-4655

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1154331767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 WHITECHAPEL DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556447",
            "telephone_number": "757-460-4655",
            "fax_number": "757-460-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 WHITECHAPEL DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556447",
            "telephone_number": "757-460-4655",
            "fax_number": "757-460-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.