Holly Waide

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1064 Laskin Rd Ste 14C
Virginia Beach, VA 23451-6337

Phone

(757) 233-1500

NPI assigned

Aug 14, 2020

Last updated

Aug 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Beach Counseling Center LLC

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1336510254
  NPD

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1811508575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 HAYGOOD ESTATE LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 LASKIN RD STE 14C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516337",
            "telephone_number": "757-233-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIDE",
        "first_name": "HOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Wagner
• Jane Annette Wagner
• Jordan Wagner
• Thomas W Wagner, MD
• Salma M Wahbi
• Jules Melvin Wainger, D.D.S.
• Deborah Lynn Wainwright, ANP-BC
• Kayla Waisome
• John R Waitekus, MD
• Wal-Mart Stores East , LP (Wal-Mart Pharmacy 10-2529)

• Mental Health Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.