Active NPI
Vonda Latoyisha Warren-Lilly, LPC
- Professional Counselor
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0701010339 | Other | VA | LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07010010339 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Tidewater Community Mental | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Suffolk, VA
- NPI 1689615296
-
- Adult Mental Health Clinic/Center
- Suffolk, VA
- NPI 1184203176
-
- Community/Behavioral Health Agency
- Norfolk, VA
- NPI 1184203069
Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.