Individual provider Active NPI

Anna Josephine Mewbourn

  • Counselor
  • Virginia Beach, VA
National Provider Identifier
1831901503
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0704017620 Issued in VA
Practice address
4216 Virginia Beach Blvd Ste 220
Virginia Beach, VA 23452-1297
Phone
(757) 202-4102
NPI assigned
Jan 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0704017620 VA Primary

Addresses

Primary practice location

4216 Virginia Beach Blvd Ste 220
Virginia Beach, VA 23452-1297

Mailing address

401 Greenview Dr
Virginia Beach, VA 23462-4466
Phone (906) 281-4637

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
0704017620VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Artemis Therapeutic Center LLC CurrentSince Jan 26, 2025 Accepting new patients

Locations

4216 Virginia Beach Blvd
Ste 220
Virginia Beach, VA 23452
Phone (757) 202-4102

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": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1831901503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GREENVIEW DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624466",
            "telephone_number": "906-281-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 VIRGINIA BEACH BLVD STE 220",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521297",
            "telephone_number": "757-202-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEWBOURN",
        "first_name": "ANNA",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704017620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.