Active NPI
Charlotte Moore Maull
- Mental Health Counselor
- Chesapeake, VA
National Provider Identifier
1629063292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0812000813
- Practice address
- 1215 Volvo Pkwy
Ste 202
Chesapeake, VA 23320 - Phone
- (757) 312-8550
- Fax
- (757) 312-8553
- NPI assigned
- Sep 20, 2005
- Last updated
- Jul 13, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701001746 | VA | |
| Mental Health Counselor | 101YM0800X | 0812000813 | VA | Primary |
| Marriage & Family Therapist | 106H00000X | 0717000828 | VA |
Addresses
Primary practice location
1215 Volvo Pkwy
Ste 202
Chesapeake, VA 23320
Mailing address
760 Lynnhaven Pkwy
Ste 201
Virginia Beach, VA 23452
Phone (757) 306-4232
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265827 | Other | VA | BCBS |
| 5410738 | Medicaid | VA |
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 |
|---|---|---|---|
| 0701001746 | VA | MD | Mental Health Counselor |
| 0812000813 | VA | MD | Mental Health Counselor |
| 0717000828 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claudia Brown, Inc | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Virginia Beach, VA
- NPI 1164553871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1629063292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 LYNNHAVEN PKWY",
"address_2": "STE 201",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23452",
"telephone_number": "757-306-4232",
"fax_number": "757-306-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 VOLVO PKWY",
"address_2": "STE 202",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23320",
"telephone_number": "757-312-8550",
"fax_number": "757-312-8553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAULL",
"first_name": "CHARLOTTE",
"middle_name": "MOORE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701001746",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0812000813",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717000828",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "265827",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5410738",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.