Individual provider Active NPI

Lauren Marie Overman, LPC, ATR, NCC

  • Mental Health Counselor
  • Suffolk, VA
National Provider Identifier
1235473117
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
707 Gittings St
#120
Suffolk, VA 23434-6101
Phone
(757) 514-3248
NPI assigned
Nov 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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 Primary

Addresses

Primary practice location

707 Gittings St
#120
Suffolk, VA 23434-6101

Mailing address

10413 Sylvia Cir
Windsor, VA 23487-5368
Phone (484) 638-2814

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
I20240307000782 VA Practitioner - Mental Health Counselor 8022402338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wishing Well Counseling Center, PLLCGroup PAC ID 7113311424, 12 clinicians

Practice addresses (Care Compare)

4037 Taylor Rd
Suite a
Chesapeake, VA 23321-5500
Phone (757) 777-9336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wishing Well Counseling Center, PLLC Mental Health CurrentSince Aug 15, 2015 Accepting new patients
Wishing Well Mental Health Services, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

4037 Taylor Rd
Ste A
Chesapeake, VA 23321
Phone (757) 483-1403

707 Gittings St
Ste 120
Suffolk, VA 23434
Phone (757) 514-3248

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": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1235473117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10413 SYLVIA CIR",
            "city": "WINDSOR",
            "state": "VA",
            "postal_code": "234875368",
            "telephone_number": "484-638-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 GITTINGS ST",
            "address_2": "#120",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346101",
            "telephone_number": "757-514-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERMAN",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC, ATR, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.