Individual provider Active NPI

Vonda Latoyisha Warren-Lilly, LPC

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1669059432
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4425 Portsmouth Blvd Ste 210E
Chesapeake, VA 23321-2152
Phone
(757) 822-9139
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 07010010339 VA
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

4425 Portsmouth Blvd Ste 210E
Chesapeake, VA 23321-2152

Mailing address

4425 Portsmouth Blvd Ste 210E
Chesapeake, VA 23321-2152
Phone (757) 822-9139

Other identifiers 1

IdentifierTypeStateIssuer
0701010339OtherVALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: No
  • 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
I20250429003612 VA Practitioner - Mental Health Counselor 0446776728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07010010339VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Tidewater Community Mental CurrentSince Mar 21, 2025 Accepting new patients
Greater Minds, LLC Current Accepting new patients
VWL Counseling & Consulting, LLC Mental Health Current Accepting new patients

Locations

4425 Portsmouth Blvd
Ste 210E
Chesapeake, VA 23321
Phone (757) 230-0056

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

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

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

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

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

1024 Centerbrooke Ln
Ste F
Suffolk, VA 23434
Phone (347) 654-5690

Organizations & group practices 3

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1669059432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PORTSMOUTH BLVD STE 210E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212152",
            "telephone_number": "757-822-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PORTSMOUTH BLVD STE 210E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212152",
            "telephone_number": "757-822-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN-LILLY",
        "first_name": "VONDA",
        "middle_name": "LATOYISHA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "07010010339",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0701010339",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.