Active NPI
Marcia Viviane Bretas, LPC
- Mental Health Counselor
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704012553
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0704012553 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brenda Lee Davis Ma LPC LLC | Current | 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.
-
- Professional Counselor
- Chesapeake, VA
- NPI 1366762270
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lynchburg, VA
- NPI 1063069185
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.