Active NPI
Traci Catogni Whitley
- Mental Health Counselor
- Virginia Beach, VA
National Provider Identifier
1487932729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMF 61824
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 61824 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Center for Connection | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1659011237
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1104001064
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1730302928
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.