Individual provider Active NPI

Traci Catogni Whitley

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1487932729
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMF 61824 Issued in CA
Practice address
317 Office Square LN Ste B101
Virginia Beach, VA 23462-3652
Phone
(757) 703-4953
NPI assigned
Aug 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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 IMF 61824 CA Primary

Addresses

Primary practice location

317 Office Square LN Ste B101
Virginia Beach, VA 23462-3652

Mailing address

9518 3Rd Bay St Unit 120
Norfolk, VA 23518-1013
Phone (760) 421-8455

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
IMF 61824CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Center for Connection CurrentSince Apr 10, 2022 Accepting new patients
Community Research Foundation Past Accepting new patients
Community Research Foundation Inc Past Accepting new patients

Locations

317 Office Square Ln
Ste B101
Virginia Beach, VA 23462
Phone (757) 403-0119

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": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1487932729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9518 3RD BAY ST UNIT 120",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181013",
            "telephone_number": "760-421-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE B101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623652",
            "telephone_number": "757-703-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "TRACI",
        "middle_name": "CATOGNI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF 61824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.