Individual provider Active NPI

Vanessa Marie Smith

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1376261941
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013587 Issued in VA
Practice address
101 N Lynnhaven Rd Ste 100
Virginia Beach, VA 23452-7523
Phone
(757) 530-4725
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701013587 VA Primary
Professional Counselor 101YP2500X 0704013590 VA

Addresses

Primary practice location

101 N Lynnhaven Rd Ste 100
Virginia Beach, VA 23452-7523

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

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
I20240606003890 VA Practitioner - Mental Health Counselor 2769924687 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701013587VAMDProfessional Counselor
0704013590VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince May 16, 2024 Accepting new patients
Brightview LLC CurrentSince May 16, 2024 Accepting new patients

Locations

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

3704 Old Forest Rd
Lynchburg, VA 24501

11745 Jefferson Ave
Ste 10B
Newport News, VA 23606
Phone (757) 315-6905

101 N Lynnhaven Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 264-9957

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1376261941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N LYNNHAVEN RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527523",
            "telephone_number": "757-530-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013587",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0704013590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.