Individual provider Active NPI

Rachel Liotta, RESIDENT IN COUNSELI

  • Assistant Behavior Analyst
  • Chesapeake, VA
National Provider Identifier
1699440503
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
070413018 Issued in VA
Practice address
3217 Western Branch Blvd Ste C
Chesapeake, VA 23321-5235
Phone
(757) 956-6100
Fax
(757) 956-6101
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 070413018 VA Primary

Addresses

Primary practice location

3217 Western Branch Blvd Ste C
Chesapeake, VA 23321-5235

Mailing address

2713 Deerfield Cres
Chesapeake, VA 23321-2447
Phone (175) 795-6610

Other identifiers 1

IdentifierTypeStateIssuer
070413018OtherVARESIDENT IN COUNSELING LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rliotta@sscs.hush.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070413018VAMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda Lee Davis Ma LPC LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

3217 Western Branch Blvd
Ste C
Chesapeake, VA 23321
Phone (757) 484-3729

3207 Churchland Blvd
Chesapeake, VA 23321

3217 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 956-6100

511 N Main St
Franklin, VA 23851
Phone (757) 956-6100

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1699440503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 DEERFIELD CRES",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212447",
            "telephone_number": "175-795-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 WESTERN BRANCH BLVD STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215235",
            "telephone_number": "757-956-6100",
            "fax_number": "757-956-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIOTTA",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "RESIDENT IN COUNSELI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "070413018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENT IN COUNSELING LICENSE",
            "identifier": "070413018",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rliotta@sscs.hush.com",
            "affiliation": "N",
            "endpointDescription": "Hush Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3217 Western Branch Blvd Ste C",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233215235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.