Active NPI
Jazzmin Star Maddox, LPC
- Professional Counselor
- Virginia Beach, VA
National Provider Identifier
1366087728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701008753
- Practice address
- 3386 Holland Rd Ste 101
Virginia Beach, VA 23452-4818 - Phone
- (757) 343-6575
- Fax
- (757) 500-0101
- NPI assigned
- Nov 8, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701008753 | VA | Primary |
Addresses
Primary practice location
3386 Holland Rd Ste 101
Virginia Beach, VA 23452-4818
Mailing address
3386 Holland Rd Ste 101
Virginia Beach, VA 23452-4895
Phone (757) 343-6575
Other names 1
- Jazzmin Star Maddox-Coleman
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 |
|---|---|---|---|
| 0701008753 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Become Whole, LLC | Current | Accepting new patients | |
| Amazing Counseling LLC | Current | Accepting new patients | |
| Family Preservation Services LLC | Past | Accepting new patients |
Locations
3386 Holland Rd
Ste 101
Virginia Beach, VA 23452
Phone (757) 343-6575
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Chesapeake, VA
- NPI 1710730205
-
- Group Psychotherapy Psychologist
- Virginia Beach, VA
- NPI 1801449855
-
- Community/Behavioral Health Agency
- Roanoke, VA
- NPI 1093891335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1366087728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3386 HOLLAND RD STE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234524895",
"telephone_number": "757-343-6575",
"fax_number": "757-500-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3386 HOLLAND RD STE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234524818",
"telephone_number": "757-343-6575",
"fax_number": "757-500-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "JAZZMIN",
"middle_name": "STAR",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701008753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAZZMIN",
"last_name": "MADDOX-COLEMAN",
"middle_name": "STAR",
"credential": "LPC",
"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 Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.