Individual provider Active NPI

Martin Ciocca Vasino

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1487244398
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5996 Issued in OR
Practice address
450 Oakmears Cres Apt 203
Virginia Beach, VA 23464-5470
Phone
(971) 864-0557
NPI assigned
Jan 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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 C5996 OR Primary

Addresses

Primary practice location

450 Oakmears Cres Apt 203
Virginia Beach, VA 23464-5470

Mailing address

1202 Copper Stone CT
Chesapeake, VA 23320-8235
Phone (971) 864-0557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT, GA, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20260203000574 FL Practitioner - Mental Health Counselor 4880172683 Reassigns benefits to 1 organization
I20260206000706 CT Practitioner - Mental Health Counselor 4880172683 Reassigns benefits to 1 organization
I20260211004287 GA Practitioner - Mental Health Counselor 4880172683 Reassigns benefits to 1 organization
I20260212002535 OR Practitioner - Mental Health Counselor 4880172683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C5996ORMDMental Health Counselor
5839CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Dec 26, 2025 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1487244398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 COPPER STONE CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208235",
            "telephone_number": "971-864-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 OAKMEARS CRES APT 203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645470",
            "telephone_number": "971-864-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOCCA VASINO",
        "first_name": "MARTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.