Active NPI
Alicia Perez Maisonave, LPC
- Professional Counselor
- Virginia Beach, VA
National Provider Identifier
1588998686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004226
- Practice address
- 3143 Magic Hollow Blvd
Ste 200
Virginia Beach, VA 23453-3077 - Phone
- (757) 636-3164
- Fax
- (757) 368-2839
- NPI assigned
- Sep 23, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004226 | VA | Primary |
Addresses
Primary practice location
3143 Magic Hollow Blvd
Ste 200
Virginia Beach, VA 23453-3077
Mailing address
908 Cantor St
Chesapeake, VA 23322-4643
Phone (757) 636-3164
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 |
|---|---|---|---|
| 0701004226 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1588998686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 CANTOR ST",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233224643",
"telephone_number": "757-636-3164",
"fax_number": "757-368-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3143 MAGIC HOLLOW BLVD",
"address_2": "STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234533077",
"telephone_number": "757-636-3164",
"fax_number": "757-368-2839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAISONAVE",
"first_name": "ALICIA",
"middle_name": "PEREZ",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004226",
"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 Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.