Individual provider Active NPI

Marcia Viviane Bretas, LPC

  • Mental Health Counselor
  • Chesapeake, VA
National Provider Identifier
1184333544
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704012553 Issued in VA
Practice address
3217 Western Branch Blvd Ste C
Chesapeake, VA 23321-5235
Phone
(757) 956-6100
Fax
(757) 956-6101
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704012553 VA Primary

Addresses

Primary practice location

3217 Western Branch Blvd Ste C
Chesapeake, VA 23321-5235

Mailing address

2713 Deerfield Cres
Chesapeake, VA 23321-2447
Phone (757) 956-6100

Other practice location 1

511 N Main St
Franklin, VA 23851-1437
Phone (757) 956-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 9, 2024 through Jan 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0704012553VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda Lee Davis Ma LPC LLC CurrentSince Apr 1, 2021 Accepting new patients
Hill City Counseling and Consulting, LLC Past Accepting new patients

Locations

3217 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 956-6100

3217 Western Branch Blvd
Ste C
Chesapeake, VA 23321
Phone (757) 484-3729

511 N Main St
Franklin, VA 23851
Phone (757) 956-6100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1184333544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 DEERFIELD CRES",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212447",
            "telephone_number": "757-956-6100",
            "fax_number": "757-956-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 WESTERN BRANCH BLVD STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215235",
            "telephone_number": "757-956-6100",
            "fax_number": "757-956-6101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 N Main St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "VA",
            "postal_code": "238511437",
            "country_code": "US",
            "telephone_number": "757-956-6100",
            "fax_number": "757-956-6101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRETAS",
        "first_name": "MARCIA",
        "middle_name": "VIVIANE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704012553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.