Individual provider Active NPI

Christina Starr Dennis

  • Addiction (Substance Use Disorder) Counselor
  • Newport News, VA
National Provider Identifier
1376219048
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0710103548 Issued in VA
Practice address
520 Knolls Dr Unit 201
Newport News, VA 23602-5763
Phone
(757) 550-5242
NPI assigned
Aug 21, 2021
Last updated
Aug 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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 0710103548 VA Primary

Addresses

Primary practice location

520 Knolls Dr Unit 201
Newport News, VA 23602-5763

Mailing address

520 Knolls Dr Unit 201
Newport News, VA 23602-5763
Phone (757) 550-5242

Other practice location 1

2204 Executive Dr Ste A
Hampton, VA 23666-6602
Phone (757) 644-3989

Other practice location 2

3 Burlington Woods Dr Ste 301
Burlington, MA 01803-4514
Phone (781) 365-9652

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

LicenseStateTypeSpecialty
0710103548VAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1376219048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 KNOLLS DR UNIT 201",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236025763",
            "telephone_number": "757-550-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 KNOLLS DR UNIT 201",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236025763",
            "telephone_number": "757-550-5242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 Executive Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236666602",
            "country_code": "US",
            "telephone_number": "757-644-3989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Burlington Woods Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018034514",
            "country_code": "US",
            "telephone_number": "781-365-9652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "CHRISTINA",
        "middle_name": "STARR",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.