Individual provider Active NPI

Mansherees Leann Ward, LPC

  • Professional Counselor
  • Suffolk, VA
National Provider Identifier
1831449818
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005261 Issued in VA
Practice address
707 Gittings St
Suite 120
Suffolk, VA 23434-6101
Phone
(757) 309-1510
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 0701005261 VA Primary

Addresses

Primary practice location

707 Gittings St
Suite 120
Suffolk, VA 23434-6101

Mailing address

103 Hicks Ave
Norfolk, VA 23502-4612
Phone (757) 309-1510

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
I20240625002589 VA Practitioner - Mental Health Counselor 1759775067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wishing Well Counseling Center, PLLCGroup PAC ID 7113311424, 12 clinicians

Practice addresses (Care Compare)

4037 Taylor Rd
Suite a
Chesapeake, VA 23321-5500
Phone (757) 777-9336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701005261VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wishing Well Counseling Center, PLLC CurrentSince May 1, 2024 Accepting new patients
Wishing Well Mental Health Services, LLC CurrentSince May 1, 2024 Accepting new patients

Locations

4037 Taylor Rd
Ste A
Chesapeake, VA 23321
Phone (757) 483-1403

707 Gittings St
Ste 120
Suffolk, VA 23434
Phone (757) 514-3248

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.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1831449818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HICKS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024612",
            "telephone_number": "757-309-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 GITTINGS ST",
            "address_2": "SUITE 120",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346101",
            "telephone_number": "757-309-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MANSHEREES",
        "middle_name": "LEANN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.