Active NPI
Melissa Lawrence
- Community/Behavioral Health Agency
- Norfolk, VA
National Provider Identifier
1235719709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0701011999
- Practice address
- 500 E Main St Ste 1218
Norfolk, VA 23510-2204 - Phone
- (757) 592-2672
- NPI assigned
- Apr 9, 2021
- Last updated
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710103774 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0704013062 | VA | |
| Community/Behavioral Health Agency | 251S00000X | 0701011999 | VA | Primary |
Addresses
Primary practice location
500 E Main St Ste 1218
Norfolk, VA 23510-2204
Mailing address
812 Skelton Way
Newport News, VA 23608-2260
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710103774 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0701011999 | VA | MD | Community/Behavioral Health Agency |
| 0704013062 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halo Counseling LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Mason Counseling Group, LLC | Multi-Specialty | Past | Accepting new patients |
Locations
117 W 21st St
Ste 205
Norfolk, VA 23517
Phone (757) 592-2672
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Norfolk, VA
- NPI 1740977511
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Norfolk, VA
- NPI 1104569045
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1235719709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 SKELTON WAY",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236082260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E MAIN ST STE 1218",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235102204",
"telephone_number": "757-592-2672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-09",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710103774",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0704013062",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "0701011999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.