Individual provider Active NPI

Shanika Testamark, LPC, CSAC, CRP, CADC

  • Counselor
  • Hampton, VA
National Provider Identifier
1780030312
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701006620 Issued in VA
Practice address
1919 Commerce Dr Ste 315
Hampton, VA 23666-4298
Phone
(757) 204-5469
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 0715005525 VA
Counselor 101Y00000X 0701006620 VA Primary
Community/Behavioral Health Agency 251S00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710102608 VA

Addresses

Primary practice location

1919 Commerce Dr Ste 315
Hampton, VA 23666-4298

Mailing address

1919 Commerce Dr Ste 315
Hampton, VA 23666-4298
Phone (757) 575-5535

Other names 1

  • Shanika Testamark-Harris Other name

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

State licenses

LicenseStateTypeSpecialty
0701006620VAMDCounselor
0710102608VAMDAddiction (Substance Use Disorder) Counselor
0715005525VAMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Services, LLC Counselor CurrentSince May 17, 2020 Accepting new patients
New Life Transitional Services, LLC Addiction (Substance Use Disorder) CurrentSince Mar 1, 2021 Accepting new patients

Locations

1702 Todds Ln
Ste 325
Hampton, VA 23666

1919 Commerce Dr
Ste 315
Hampton, VA 23666
Phone (757) 204-5469

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1780030312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 COMMERCE DR STE 315",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236664298",
            "telephone_number": "757-575-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 COMMERCE DR STE 315",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236664298",
            "telephone_number": "757-204-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTAMARK",
        "first_name": "SHANIKA",
        "credential": "LPC, CSAC, CRP, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "VA",
            "license": "0715005525",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701006620",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANIKA",
            "last_name": "TESTAMARK-HARRIS",
            "credential": "LPC, CSAC, CRP, CADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.