Individual provider Active NPI

Catherine Mary Calletto, LPC

  • Professional Counselor
  • Portsmouth, VA
National Provider Identifier
1528573565
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007410 Issued in VA
Practice address
1805 Airline Blvd
Portsmouth, VA 23707-3912
Phone
(757) 337-3501
Fax
(757) 399-3316
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 0701007410 VA Primary

Addresses

Primary practice location

1805 Airline Blvd
Portsmouth, VA 23707-3912

Mailing address

1805 Airline Blvd
Portsmouth, VA 23707-3912
Phone (757) 337-3501

Other practice location 1

222 W 19th St
Norfolk, VA 23517-2218
Phone (757) 622-7017

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510003142 VA Practitioner - Mental Health Counselor 2668813403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Rochester School of Medicine and Dentistry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Services of Eastern Virginia, IncGroup PAC ID 7618009333, 4 clinicians

Practice addresses (Care Compare)

109 /2 Clay St
Suffolk, VA 23434-5205
Phone (757) 965-8663

222 W 19TH St
Norfolk, VA 23517-2218
Phone (757) 622-7017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Services of Eastern Virginia, Inc CurrentSince Mar 19, 2024 Accepting new patients
Child and Family Services of Eastern Virginia Past Accepting new patients

Locations

580 E Main St
Ste 400
Norfolk, VA 23510

222 W 19th St
Norfolk, VA 23517
Phone (757) 622-7017

1805 Airline Blvd
Portsmouth, VA 23707
Phone (757) 337-3557

Organizations & group practices 2

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1528573565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 AIRLINE BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073912",
            "telephone_number": "757-337-3501",
            "fax_number": "757-399-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 AIRLINE BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073912",
            "telephone_number": "757-337-3501",
            "fax_number": "757-399-3316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W 19th St",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235172218",
            "country_code": "US",
            "telephone_number": "757-622-7017",
            "fax_number": "757-399-3316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLETTO",
        "first_name": "CATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.