Active NPI
Avis Edwards
- Professional Counselor
- Newport News, VA
National Provider Identifier
1689213316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701015611
- Practice address
- 610 Thimble Shoals Blvd Ste 303B
Newport News, VA 23606-4503 - Phone
- (757) 240-5595
- Fax
- (757) 282-5963
- NPI assigned
- Dec 28, 2019
- 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 | 0701015611 | VA | Primary |
Addresses
Primary practice location
610 Thimble Shoals Blvd Ste 303B
Newport News, VA 23606-4503
Mailing address
344 Sycamore Walk
Smithfield, VA 23430-1923
Phone (843) 384-0386
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, 2009
- 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 |
|---|---|---|---|
| 0701015611 | VA | MD | Professional Counselor |
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
- Hampton, VA
- NPI 1659424448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1689213316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 SYCAMORE WALK",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234301923",
"telephone_number": "843-384-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 THIMBLE SHOALS BLVD STE 303B",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064503",
"telephone_number": "757-240-5595",
"fax_number": "757-282-5963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "AVIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-28",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701015611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.