NPIMap

Organization Active NPI

Brenda Lee Davis Ma LPC LLC

Doing business as Stepping Stones Counseling Services

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1366762270
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
701003883 Issued in VA
Legal business name
BRENDA LEE DAVIS MA LPC LLC
Doing business as
Stepping Stones Counseling Services
Practice address
3217 Western Branch Blvd Suite C
Chesapeake, VA 23321
Phone
(757) 956-6100
Fax
(757) 956-6101
NPI assigned
Jun 3, 2010
Last updated
Apr 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Brenda Lee Davis, MA, LPC, RPT-SNPI 1144371857
Title
Owner
Phone
(757) 956-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 701003883 VA Primary

Addresses

Primary practice location

3217 Western Branch Blvd Suite C
Chesapeake, VA 23321

Mailing address

2713 Deerfield Cres
Chesapeake, VA 23321-2447
Phone (757) 956-6100

Other identifiers 1

IdentifierTypeStateIssuer
1144371857MedicaidVA

Other names 1

  • Stepping Stones Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210624001226 VA Part B Supplier - Clinic/Group Practice 2163840083 Receives reassigned benefits from 7 practitioners
Practice locations: Chesapeake, VA; Franklin, VA
O20220506002048 NC Part B Supplier - Clinic/Group Practice 2163840083 Receives reassigned benefits from 1 practitioner
Practice locations: Point Harbor, NC

National Provider Directory

National Provider Directory

Locations

8845 Caratoke Hwy
Ste 2
Point Harbor, NC 27964
Phone (757) 956-6100

3207 Churchland Blvd
Chesapeake, VA 23321

3217 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 956-6100

511 N Main St
Franklin, VA 23851
Phone (757) 956-6100

601 N Mechanic St
Ste 220
Franklin, VA 23851
Phone (757) 516-7886

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1366762270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 DEERFIELD CRES",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212447",
            "telephone_number": "757-956-6100",
            "fax_number": "757-956-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 WESTERN BRANCH BLVD SUITE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23321",
            "telephone_number": "757-956-6100",
            "fax_number": "757-956-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA LEE DAVIS MA LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-956-6100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC, RPT-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "701003883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144371857",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stepping Stones Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.