Individual provider Active NPI

Noeris Montanez, LPC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1417435496
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010751 Issued in VA
Practice address
780 Lynnhaven Pkwy Ste 110
Virginia Beach, VA 23452-7351
Phone
(757) 301-8747
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701010751 VA
Professional Counselor 101YP2500X 0701010751 VA Primary

Addresses

Primary practice location

780 Lynnhaven Pkwy Ste 110
Virginia Beach, VA 23452-7351

Mailing address

780 Lynnhaven Pkwy Ste 110
Virginia Beach, VA 23452-7351
Phone (757) 694-4723

Other practice location 1

780 Lynnhaven Pkwy Ste 340
Virginia Beach, VA 23452-7361
Phone (757) 694-4723

Other practice location 2

816 Greenbrier Cir Ste 100
Chesapeake, VA 23320-2645
Phone (757) 301-8747

Other identifiers 1

IdentifierTypeStateIssuer
30015404190005MedicaidVA

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
I20231208000460 VA Practitioner - Mental Health Counselor 1254780893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

816 Greenbrier Cir
Suite 100
Chesapeake, VA 23320-2645
Phone (757) 301-8747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701010751VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

816 Greenbrier Cir
Ste 100
Chesapeake, VA 23320
Phone (757) 301-8747

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

780 Lynnhaven Pkwy
Ste 340
Virginia Beach, VA 23452
Phone (757) 301-8747

780 Lynnhaven Pkwy
Ste 110
Virginia Beach, VA 23452
Phone (757) 301-8747

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.noerismontanez@134000.advancedmd-direct.com

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1417435496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527351",
            "telephone_number": "757-694-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527351",
            "telephone_number": "757-301-8747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Lynnhaven Pkwy Ste 340",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527361",
            "country_code": "US",
            "telephone_number": "757-694-4723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "816 Greenbrier Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233202645",
            "country_code": "US",
            "telephone_number": "757-301-8747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANEZ",
        "first_name": "NOERIS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010751",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015404190005",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.