Individual provider Active NPI

Olivia Michelle Lewis, MS, LPC

  • Mental Health Counselor
  • Norfolk, VA
National Provider Identifier
1396511317
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701012882 Issued in VA
Practice address
6330 N Center Drive
Building 13 Suite 200
Norfolk, VA 23502
Phone
(757) 233-0003
Fax
(757) 233-1669
NPI assigned
Nov 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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 0701012882 VA Primary

Addresses

Primary practice location

6330 N Center Drive
Building 13 Suite 200
Norfolk, VA 23502

Mailing address

1607 Weber Ave Apt 3
Chesapeake, VA 23325-4228
Phone (757) 793-1633

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
I20240509002310 VA Practitioner - Mental Health Counselor 5597106419 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0701012882VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mermaid Counseling and Consulting LLC Mental Health CurrentSince Apr 24, 2024 Accepting new patients

Locations

253 W Bute St
Norfolk, VA 23510
Phone (757) 447-7382

Organizations & group practices 1

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": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1396511317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 WEBER AVE APT 3",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233254228",
            "telephone_number": "757-793-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 N CENTER DRIVE",
            "address_2": "BUILDING 13 SUITE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23502",
            "telephone_number": "757-233-0003",
            "fax_number": "757-233-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "OLIVIA",
        "middle_name": "MICHELLE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.