Individual provider Active NPI

Jacey Persinger

  • Mental Health Counselor
  • Chesapeake, VA
National Provider Identifier
1194164574
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701015193 Issued in VA
Practice address
1021 Eden Way N,
Ste 118 PMB 373
Chesapeake, VA 23320-2766
Phone
(757) 863-3412
Fax
(757) 432-3139
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 0701015193 VA Primary

Addresses

Primary practice location

1021 Eden Way N,
Ste 118 PMB 373
Chesapeake, VA 23320-2766

Mailing address

1021 Eden Way N,
Ste 118 PMB 373
Chesapeake, VA 23320-2766
Phone (757) 863-3412

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
I20260116003556 VA Practitioner - Mental Health Counselor 2769985993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3508 Glencoe CT
Chesapeake, VA 23322-3266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701015193VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling Services LLC CurrentSince Aug 18, 2025 Accepting new patients
Cape Cod Child Development Program, Inc. Past Accepting new patients

Locations

1021 Eden Way N
Ste 118
Chesapeake, VA 23320
Phone (469) 900-5448

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1194164574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 EDEN WAY N,",
            "address_2": "STE 118 PMB 373",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202766",
            "telephone_number": "757-863-3412",
            "fax_number": "757-432-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 EDEN WAY N,",
            "address_2": "STE 118 PMB 373",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202766",
            "telephone_number": "757-863-3412",
            "fax_number": "757-432-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSINGER",
        "first_name": "JACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701015193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.