Individual provider Active NPI

Breezi Sharpe-Justice, LPC

  • Professional Counselor
  • Portsmouth, VA
National Provider Identifier
1598101800
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007534 Issued in VA
Practice address
739 High St Ste 112
Portsmouth, VA 23704-3425
Phone
(757) 770-4717
NPI assigned
May 14, 2013
Last updated
Oct 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0709025344 VA
Mental Health Counselor 101YM0800X 0701007534 VA
Professional Counselor 101YP2500X 0701007534 VA Primary
Community/Behavioral Health Agency 251S00000X NU
Developmental Therapist 222Q00000X NU

Addresses

Primary practice location

739 High St Ste 112
Portsmouth, VA 23704-3425

Mailing address

5017 Kelso St
Suffolk, VA 23435-2555
Phone (757) 513-8268

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

LicenseStateTypeSpecialty
0709025344VAMDAddiction (Substance Use Disorder) Counselor
0701007534VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Mente Mental Health Services LLC Professional CurrentSince Feb 1, 2022 Accepting new patients

Locations

1545 Crossways Blvd
Ste 250
Chesapeake, VA 23320
Phone (757) 206-2772

739 High St
Ste 112
Portsmouth, VA 23704
Phone (757) 453-3359

Organizations & group practices 1

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1598101800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 KELSO ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352555",
            "telephone_number": "757-513-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 HIGH ST STE 112",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043425",
            "telephone_number": "757-770-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE-JUSTICE",
        "first_name": "BREEZI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0709025344",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007534",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007534",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.