Individual provider Active NPI

Melissa L Wilson-Baskett, LMHP-R

  • Mental Health Counselor
  • Chesapeake, VA
National Provider Identifier
1629868674
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704014328 Issued in VA
Practice address
2010 Old Greenbrier Rd Ste B
Chesapeake, VA 23320-2619
Phone
(757) 702-3261
Fax
(757) 702-3260
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 0704014328 VA Primary

Addresses

Primary practice location

2010 Old Greenbrier Rd Ste B
Chesapeake, VA 23320-2619

Mailing address

4209 Burnham Dr
Portsmouth, VA 23703-1609
Phone (843) 499-5170

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
0704014328VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Psychological Services Mental Health CurrentSince Jun 14, 2025 Accepting new patients

Locations

2010 Old Greenbrier Rd
Ste B
Chesapeake, VA 23320
Phone (757) 361-6634

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1629868674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 BURNHAM DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237031609",
            "telephone_number": "843-499-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 OLD GREENBRIER RD STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202619",
            "telephone_number": "757-702-3261",
            "fax_number": "757-702-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-BASKETT",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "LMHP-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704014328",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 12, 2025; 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.