Active NPI
Danielle Jackson Lippoldt, M.A.
- Behavior Analyst
- Virginia Beach, VA
National Provider Identifier
1720391022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133000608
- Practice address
- 373 Edwin Dr
Virginia Beach, VA 23462-4522 - Phone
- (757) 803-5663
- Fax
- (757) 938-6944
- NPI assigned
- Jul 15, 2010
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202005994 | VA | |
| Behavior Analyst | 103K00000X | 0133000608 | VA | Primary |
Addresses
Primary practice location
373 Edwin Dr
Virginia Beach, VA 23462-4522
Mailing address
373 Edwin Dr
Virginia Beach, VA 23462-4522
Phone (757) 301-2411
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133000608 | VA | MD | Behavioral Analyst |
| 2202005994 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moli Pediatric Therapy, LLC | Behavior Analyst | Current | Accepting new patients |
| Pinwheel Autism | Behavior Analyst | Past | Accepting new patients |
Locations
373 Edwin Dr
Virginia Beach, VA 23462
Phone (757) 301-2411
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Moli Autism Center
- Behavior Analyst
- Virginia Beach, VA
- NPI 1053881904
-
- Behavior Analyst
- Virginia Beach, VA
- NPI 1063889327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1720391022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 EDWIN DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234624522",
"telephone_number": "757-301-2411",
"fax_number": "888-966-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 EDWIN DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234624522",
"telephone_number": "757-803-5663",
"fax_number": "757-938-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPOLDT",
"first_name": "DANIELLE",
"middle_name": "JACKSON",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202005994",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133000608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.