Active NPI
Shareca Akines
- Professional Counselor
- Newport News, VA
National Provider Identifier
1275149361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0704010327
- Practice address
- 11815 Fountain Way Ste 300
Newport News, VA 23606-4448 - Phone
- (757) 296-6500
- NPI assigned
- Sep 23, 2020
- Last updated
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0704010327 | VA | Primary |
Addresses
Primary practice location
11815 Fountain Way Ste 300
Newport News, VA 23606-4448
Mailing address
11815 Fountain Way Ste 300
Newport News, VA 23606-4448
Phone (757) 296-6500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@innovativecounseling.org |
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 |
|---|---|---|---|
| 0704010327 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiant Innovations Counseling Services | Professional | Current | Accepting new patients |
| Innovative Counseling Services LLC | Current | Accepting new patients |
Locations
11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport News, VA
- NPI 1114790490
Professional
-
dba na
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport News, VA
- NPI 1417578469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1275149361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11815 FOUNTAIN WAY STE 300",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064448",
"telephone_number": "757-296-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11815 FOUNTAIN WAY STE 300",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064448",
"telephone_number": "757-296-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINES",
"first_name": "SHARECA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2023-08-25",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0704010327",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@innovativecounseling.org",
"affiliation": "N",
"address_1": "906 Rivers Arch",
"city": "Carrollton",
"state": "VA",
"country_code": "US",
"postal_code": "233143542",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.