Marisa C Myles, M.A., LMHP-R

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704012084 Issued in VA

Practice address

5267 Greenwich Rd Ste 101E
Virginia Beach, VA 23462-6028

Phone

(757) 206-2378

NPI assigned

Nov 4, 2020

Last updated

Nov 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23608/brand/1/csg/1/fhir/r4

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.

• Holistic Life Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Virginia Beach, VA
  • NPI 1114557022
  NPD

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1861093973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 HAMBLEDON LOOP",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5267 GREENWICH RD STE 101E",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626028",
            "telephone_number": "757-206-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYLES",
        "first_name": "MARISA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "M.A., LMHP-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704012084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor C Myers
• Myeyedr Optometry of Virginia, PLLC (MyEyeDr.)
• Myeyedr Optometry of Virginia, PLLC (MyEyeDr.)
• Myeyedr Optometry of Virginia, PLLC (MyEyeDr.)
• Claire Vanessa Myles, CERTIFIED LIFE COACH
• Myriad Educational Training and Services (Myriad Home Care)
• Andrew William Naas, PT
• Nable Contracting, LLC
• Alan D Nachman, D.D.S.
• Nada Group Corporation (Nada Acupuncture)

• 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 Nov 4, 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.