Individual provider Active NPI

Mary Durkin, LPC

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1447768874
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007467 Issued in VA
Practice address
1403 Greenbrier Pkwy Ste 150
Chesapeake, VA 23320-0624
Phone
(757) 288-6274
Fax
(855) 421-1800
NPI assigned
Jan 19, 2018
Last updated
Oct 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701007467 VA Primary

Addresses

Primary practice location

1403 Greenbrier Pkwy Ste 150
Chesapeake, VA 23320-0624

Mailing address

1403 Greenbrier Pkwy Ste 150
Chesapeake, VA 23320-0624
Phone (757) 288-6274

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
0701007467VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Professional Counseling, LLC Professional CurrentSince Oct 17, 2021 Accepting new patients

Locations

638 Independence Pkwy
Ste 240
Chesapeake, VA 23320
Phone (757) 529-3189

1403 Greenbrier Pkwy
Ste 150
Chesapeake, VA 23320
Phone (757) 235-1760

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, 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": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1447768874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 GREENBRIER PKWY STE 150",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200624",
            "telephone_number": "757-288-6274",
            "fax_number": "855-421-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 GREENBRIER PKWY STE 150",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200624",
            "telephone_number": "757-288-6274",
            "fax_number": "855-421-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURKIN",
        "first_name": "MARY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.