Individual provider Active NPI

Shauna J Polen, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1457139792
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024187787 Issued in VA
Practice address
555 Belaire Ave Ste 350
Chesapeake, VA 23320-4789
Phone
(844) 863-4621
Fax
(757) 257-5143
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001247271 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024187787 VA Primary

Addresses

Primary practice location

555 Belaire Ave Ste 350
Chesapeake, VA 23320-4789

Mailing address

555 Belaire Ave Ste 350
Chesapeake, VA 23320-4789
Phone (844) 863-4621

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325003974 VA Practitioner - Nurse Practitioner 6002253101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

3804 Poplar Hill Rd
Unit D
Chesapeake, VA 23321-5532
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Counseling Center Inc CurrentSince Feb 11, 2024 Accepting new patients
Thrive Counseling LLC CurrentSince Apr 16, 2025 Accepting new patients
Ronald W. Atwood, M.D., P.C. Past Accepting new patients

Locations

3804 Poplar Hill Rd
Unit D
Chesapeake, VA 23321
Phone (757) 414-6427

809 Kent Pl
Chesapeake, VA 23320
Phone (757) 436-0605

1417 Battlefield Blvd N
Ste 260
Chesapeake, VA 23320
Phone (757) 436-0605

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1457139792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BELAIRE AVE STE 350",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204789",
            "telephone_number": "844-863-4621",
            "fax_number": "757-257-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BELAIRE AVE STE 350",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204789",
            "telephone_number": "844-863-4621",
            "fax_number": "757-257-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEN",
        "first_name": "SHAUNA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001247271",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.