Active NPI
Michelle Juarez, LPC
- Professional Counselor
- Chesapeake, VA
National Provider Identifier
1679009690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701007070
- Practice address
- 1403 Greenbrier Pkwy Ste 150
Chesapeake, VA 23320-0624 - Phone
- (757) 788-0300
- Fax
- (757) 788-0969
- NPI assigned
- May 11, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701007070 | VA | Primary |
Addresses
Primary practice location
1403 Greenbrier Pkwy Ste 150
Chesapeake, VA 23320-0624
Mailing address
1403 Greenbrier Pkwy
Chesapeake, VA 23320-0614
Phone (757) 932-0040
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701007070 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reflections Counseling Services LLC | Current | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Virginia Beach, VA
- NPI 1356906564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1679009690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 GREENBRIER PKWY",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200614",
"telephone_number": "757-932-0040",
"fax_number": "844-526-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 GREENBRIER PKWY STE 150",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200624",
"telephone_number": "757-788-0300",
"fax_number": "757-788-0969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "MICHELLE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701007070",
"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 Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.