Individual provider Active NPI

Margaret Detwiler

  • Addiction (Substance Use Disorder) Counselor
  • Virginia Beach, VA
National Provider Identifier
1366979106
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
05-0373414 Issued in NC
Practice address
3809 Banyan Grove LN Apt 104
Virginia Beach, VA 23462-7471
Phone
(412) 403-5529
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 05-0373414 NC Primary

Addresses

Primary practice location

3809 Banyan Grove LN Apt 104
Virginia Beach, VA 23462-7471

Mailing address

4604 Baymar Dr Apt 201
Raleigh, NC 27612-3274
Phone (412) 403-5529

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
I20250506000797 VA Practitioner - Mental Health Counselor 2668999467 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery for the City International Inc. Addiction (Substance Use Disorder) CurrentSince Apr 1, 2025 Accepting new patients
Fellowship Health Resources, Inc PastSince Apr 29, 2012 Accepting new patients

Locations

228 N Lynnhaven Rd
Ste 118
Virginia Beach, VA 23452
Phone (757) 456-0026

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1366979106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 BAYMAR DR APT 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123274",
            "telephone_number": "412-403-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 BANYAN GROVE LN APT 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627471",
            "telephone_number": "412-403-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "05-0373414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.