Active NPI
Jacqueline Ruth Schaede, LPC, LMFT
- Professional Counselor
- Norfolk, VA
National Provider Identifier
1649649120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002444
- Practice address
- 1960 East Ocean View Ave
Norfolk, VA 23503-2504 - Phone
- (757) 664-6674
- Fax
- (757) 441-1152
- NPI assigned
- Sep 15, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701002444 | VA | Primary |
| Marriage & Family Therapist | 106H00000X | 0717000906 | VA |
Addresses
Primary practice location
1960 East Ocean View Ave
Norfolk, VA 23503-2504
Mailing address
1960 E Ocean View Ave
Norfolk, VA 23503-2504
Phone (757) 664-6674
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 Medical Dr
Hampton, VA 23666-1765
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701002444 | VA | MD | Professional Counselor |
| 0717000906 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampton Newport News Community Services Board | Current | Accepting new patients | |
| City of Norfolk | Marriage & Family Therapist | Past | Accepting new patients |
Locations
600 Medical Dr
Ste Ab
Hampton, VA 23666
Phone (757) 788-0600
300 Marcella Rd
Hampton, VA 23666
Phone (757) 323-7996
300 Medical Dr
Fl 2
Hampton, VA 23666
Phone (757) 788-0092
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.
-
- Community/Behavioral Health Agency
- Hampton, VA
- NPI 1659424448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1649649120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 E OCEAN VIEW AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235032504",
"telephone_number": "757-664-6674",
"fax_number": "757-441-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 EAST OCEAN VIEW AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235032504",
"telephone_number": "757-664-6674",
"fax_number": "757-441-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEDE",
"first_name": "JACQUELINE",
"middle_name": "RUTH",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002444",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717000906",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.