Individual provider Active NPI

Liz Nayra Menjivar

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1396501177
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701013209 Issued in VA
Practice address
517 W Grace St
Richmond, VA 23220-4911
Phone
(804) 783-2505
NPI assigned
Feb 28, 2024
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701013209 VA Primary

Addresses

Primary practice location

517 W Grace St
Richmond, VA 23220-4911

Mailing address

517 W Grace St
Richmond, VA 23220-4911
Phone (804) 783-2505

Other names 1

  • Liz Nayra Rocha Former name

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
I20240418002685 VA Practitioner - Mental Health Counselor 6406295732 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Daily Planet Inc Current Accepting new patients
The Daily Planet Inc CurrentSince Feb 25, 2024 Accepting new patients
The Daily Planet Inc CurrentSince Feb 25, 2024 Accepting new patients
The Daily Planet Inc, CurrentSince Feb 25, 2024 Accepting new patients
The Daily Planet Inc CurrentSince Feb 25, 2024 Accepting new patients

Locations

10299 Woodman Rd
Glen Allen, VA 23060
Phone (804) 261-8571

517 W Grace St
Richmond, VA 23220
Phone (804) 783-0678

700 Dinwiddie Ave
Richmond, VA 23224
Phone (804) 230-1217

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1396501177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W GRACE ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204911",
            "telephone_number": "804-783-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W GRACE ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204911",
            "telephone_number": "804-783-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENJIVAR",
        "first_name": "LIZ",
        "middle_name": "NAYRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701013209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "ROCHA",
            "middle_name": "NAYRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.