Individual provider Active NPI

Laura Michelle Samalya, M.A.

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1215258769
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007933 Issued in VA
Practice address
5250 Challedon Dr Ste 200
Virginia Beach, VA 23462-6304
Phone
(757) 406-1716
NPI assigned
Jun 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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 0701007933 VA Primary

Addresses

Primary practice location

5250 Challedon Dr Ste 200
Virginia Beach, VA 23462-6304

Mailing address

2613 Elon Dr
Virginia Beach, VA 23454-4355
Phone (757) 406-1716

Other names 1

  • Laura Daniel Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0701007933VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shooting Star Counseling, LLC Professional CurrentSince Sep 1, 2023 Accepting new patients

Locations

9321 Sloane St
Norfolk, VA 23503
Phone (678) 713-0167

5250 Challedon Dr
Ste 200
Virginia Beach, VA 23462
Phone (757) 406-1716

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1215258769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 ELON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544355",
            "telephone_number": "757-406-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 CHALLEDON DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626304",
            "telephone_number": "757-406-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMALYA",
        "first_name": "LAURA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "DANIEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.