Individual provider Active NPI

Sundee Diviney, LPC

  • Mental Health Counselor
  • Newport News, VA
National Provider Identifier
1669608915
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701004072 Issued in VA
Practice address
11815 Fountain Way Ste 300-5409
Newport News, VA 23606-4448
Phone
(844) 502-7283
Fax
(757) 517-0612
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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 0701004072 VA Primary

Addresses

Primary practice location

11815 Fountain Way Ste 300-5409
Newport News, VA 23606-4448

Mailing address

969 Lacon Dr Ste 300-5409
Newport News, VA 23608-2526
Phone (844) 502-7283

Other practice location 1

969 Lacon Dr Ste 300-5409
Newport News, VA 23608-2526
Phone (844) 502-7283

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
I20251110003431 VA Practitioner - Mental Health Counselor 7214427962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brave Within Counseling LLCGroup PAC ID 7810338381, 2 clinicians

Practice addresses (Care Compare)

11815 Fountain Way
Suite 300
Newport News, VA 23606-4448
Phone (844) 502-7283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701004072VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Within Counseling LLC CurrentSince Oct 7, 2025 Accepting new patients

Locations

11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1669608915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 LACON DR STE 300-5409",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236082526",
            "telephone_number": "844-502-7283",
            "fax_number": "757-517-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 FOUNTAIN WAY STE 300-5409",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064448",
            "telephone_number": "844-502-7283",
            "fax_number": "757-517-0612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 Lacon Dr Ste 300-5409",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236082526",
            "country_code": "US",
            "telephone_number": "844-502-7283",
            "fax_number": "757-517-0612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIVINEY",
        "first_name": "SUNDEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701004072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.