Individual provider Active NPI

Enid Candelaria-Vega, LPC

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1558879098
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701007409 Issued in VA
Practice address
3630 S Plaza TRL
Virginia Beach, VA 23452-3300
Phone
(757) 701-9266
NPI assigned
Jan 18, 2018
Last updated
Jan 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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 0701007409 VA Primary

Addresses

Primary practice location

3630 S Plaza TRL
Virginia Beach, VA 23452-3300

Mailing address

4106 Neptune CT
Chesapeake, VA 23325-2527

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
I20231221003896 VA Practitioner - Mental Health Counselor 1759731334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

3804 Poplar Hill Rd
Unit D
Chesapeake, VA 23321-5532
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701007409VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
New Chance Today LLC Mental Health PastSince Jul 28, 2019 Accepting new patients

Locations

3804 Poplar Hill Rd
Unit D
Chesapeake, VA 23321
Phone (757) 414-6427

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

Interoperability endpoints

  • Direct secure messaging: enid.vega.1@17026.direct.athenahealth.com

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, 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": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1558879098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 NEPTUNE CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233252527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 S PLAZA TRL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523300",
            "telephone_number": "757-701-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIA-VEGA",
        "first_name": "ENID",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.