Individual provider Active NPI

Jade West

  • Professional Counselor
  • Hampton, VA
National Provider Identifier
1275275893
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011314 Issued in VA
Practice address
300 Medical Dr
Hampton, VA 23666-1765
Phone
(470) 295-9484
Fax
(757) 251-1119
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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 0701011314 VA Primary

Addresses

Primary practice location

300 Medical Dr
Hampton, VA 23666-1765

Mailing address

300 Medical Dr
Hampton, VA 23666-1765
Phone (470) 295-9484

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
I20240705000496 VA Practitioner - Mental Health Counselor 5597209247 Reassigns benefits to 2 organizations

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
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701011314VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Newport News Community Services Board CurrentSince Jun 13, 2024 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince May 25, 2024 Accepting new patients

Locations

400 Medical Dr
#A
Hampton, VA 23666
Phone (757) 788-0400

600 Medical Dr
Ste Ab
Hampton, VA 23666
Phone (757) 788-0600

300 Medical Dr
Fl 2
Hampton, VA 23666
Phone (757) 788-0092

300 Medical Dr
Hampton, VA 23666
Phone (757) 788-0092

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

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": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1275275893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661765",
            "telephone_number": "470-295-9484",
            "fax_number": "757-251-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661765",
            "telephone_number": "470-295-9484",
            "fax_number": "757-251-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.