Individual provider Active NPI

Chiquita Monique Merrill, LPC

  • Professional Counselor
  • Suffolk, VA
National Provider Identifier
1629542352
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008129 Issued in VA
Practice address
7025 Harbour View Blvd
Suffolk, VA 23435-2761
Phone
(757) 966-2805
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008129 VA Primary

Addresses

Primary practice location

7025 Harbour View Blvd
Suffolk, VA 23435-2761

Mailing address

3860 Sugar Creek Cir
Portsmouth, VA 23703-2527
Phone (757) 718-0192

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
I20240611002604 VA Practitioner - Mental Health Counselor 3678015278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suffolk Psychotherapy, Inc.Group PAC ID 9234491192, 4 clinicians

Practice addresses (Care Compare)

425 W Washington St
Suite 4
Suffolk, VA 23434-5320
Phone (757) 809-5376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Tidewater Community Mental CurrentSince Jun 1, 2025 Accepting new patients
Suffolk Psychotherapy, Inc. Professional CurrentSince Apr 23, 2024 Accepting new patients

Locations

200 E 2nd Ave
Franklin, VA 23851
Phone (757) 562-2208

1913 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 357-7458

1801 S Church St
Ste 6
Smithfield, VA 23430

7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471

135 S Saratoga St
Suffolk, VA 23434
Phone (757) 925-1981

5268 Godwin Blvd
Suffolk, VA 23434
Phone (757) 255-7117

114 N Main St
Ste 102
Suffolk, VA 23434
Phone (757) 809-5376

425 W Washington St
Ste 4
Suffolk, VA 23434
Phone (757) 209-4607

1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1629542352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 SUGAR CREEK CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032527",
            "telephone_number": "757-718-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 HARBOUR VIEW BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352761",
            "telephone_number": "757-966-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "CHIQUITA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.