NPIMap

Individual provider Active NPI

Deirdre' Clare Hamilton, LPC, NCC

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1558524439
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701004360 Issued in VA
Practice address
2697 International Pkwy
Parkway 2 - Suite 101
Virginia Beach, VA 23452-7803
Phone
(757) 301-7129
NPI assigned
Jul 9, 2008
Last updated
Jul 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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 0701004360 VA Primary

Addresses

Primary practice location

2697 International Pkwy
Parkway 2 - Suite 101
Virginia Beach, VA 23452-7803

Mailing address

2697 International Pkwy
Parkway 2 - Suite 101
Virginia Beach, VA 23452-7803
Phone (757) 301-7129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 2, 2024 through Jan 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701004360VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Consulting Mental Health Past Accepting new patients
Reboot Functional Health Care Corporation PastSince Jan 21, 2022 Accepting new patients
Mosaic Consulting LLC Past Accepting new patients
Beach Counseling, LLC Mental Health PastSince Jul 11, 2018 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1558524439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2697 INTERNATIONAL PKWY",
            "address_2": "PARKWAY 2 - SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527803",
            "telephone_number": "757-301-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2697 INTERNATIONAL PKWY",
            "address_2": "PARKWAY 2 - SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527803",
            "telephone_number": "757-301-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DEIRDRE'",
        "middle_name": "CLARE",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701004360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.