Individual provider Active NPI

Maya Birden, LRIC

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1194468421
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1228 Progressive Dr Ste 201
Chesapeake, VA 23320-2846
Phone
(757) 436-5601
Fax
(855) 410-0727
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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 Primary

Addresses

Primary practice location

1228 Progressive Dr Ste 201
Chesapeake, VA 23320-2846

Mailing address

4949 Paine LN
Virginia Beach, VA 23455-5215
Phone (540) 656-8098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1194468421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 PAINE LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555215",
            "telephone_number": "540-656-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 PROGRESSIVE DR STE 201",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202846",
            "telephone_number": "757-436-5601",
            "fax_number": "855-410-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDEN",
        "first_name": "MAYA",
        "credential": "LRIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 Apr 14, 2022; 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.