Individual provider Active NPI

Vivian McCorey, LPC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1760019939
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701009031 Issued in VA
Practice address
460 Investors PL Ste 106
Virginia Beach, VA 23452-1166
Phone
(757) 309-4688
Fax
(757) 309-4699
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701009031 VA Primary

Addresses

Primary practice location

460 Investors PL Ste 106
Virginia Beach, VA 23452-1166

Mailing address

7141 Newport Ave Apt 302
Norfolk, VA 23505-3940
Phone (757) 614-9497

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
I20240320003518 VA Practitioner - Mental Health Counselor 3375980741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701009031VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Feb 5, 2024 Accepting new patients
Open Bay Consulting CurrentSince Jul 3, 2022 Accepting new patients
New Day Counseling PastSince Mar 29, 2020 Accepting new patients

Locations

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

Organizations & group practices 3

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1760019939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7141 NEWPORT AVE APT 302",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053940",
            "telephone_number": "757-614-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 INVESTORS PL STE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521166",
            "telephone_number": "757-309-4688",
            "fax_number": "757-309-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOREY",
        "first_name": "VIVIAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.