Individual provider Active NPI

Sheila Baez, LPC-R

  • Mental Health Counselor
  • Fort Lee, VA
National Provider Identifier
1750004180
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704014858 Issued in VA
Practice address
215 Yorktown Dr Apt B
Fort Lee, VA 23801-1332
Phone
(315) 771-4211
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 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 0704014858 VA Primary

Addresses

Primary practice location

215 Yorktown Dr Apt B
Fort Lee, VA 23801-1332

Mailing address

900 Granby St Ste 105
Norfolk, VA 23510-2531
Phone (315) 771-4211

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL businessemail Health Information Exchange (HIE)

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
I20240606003795 VA Practitioner - Mental Health Counselor 2961944871 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0704014858VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mermaid Counseling and Consulting LLC Mental Health CurrentSince May 5, 2024 Accepting new patients

Locations

253 W Bute St
Norfolk, VA 23510
Phone (757) 447-7382

900 Granby St
Ste 105
Norfolk, VA 23510

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1750004180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GRANBY ST STE 105",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102531",
            "telephone_number": "315-771-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 YORKTOWN DR APT B",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011332",
            "telephone_number": "315-771-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ",
        "first_name": "SHEILA",
        "credential": "LPC-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704014858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "businessemail",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "assessments and notes",
            "address_1": "215 Yorktown Dr Apt B",
            "city": "Fort Lee",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238011332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lee, VA

Sources for this page

Verify at the official NPI Registry.