Individual provider Active NPI

Richard Frank Tavolacci, LMFT LPC

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1861598120
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0717001015 Issued in VA
Practice address
1417 Battlefield Blvd N Ste 115
Chesapeake, VA 23320-4516
Phone
(757) 312-8002
Fax
(757) 312-9299
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0717001015 VA Primary

Addresses

Primary practice location

1417 Battlefield Blvd N Ste 115
Chesapeake, VA 23320-4516

Mailing address

513 Cassway Arch
Chesapeake, VA 23323-3820
Phone (757) 558-2435

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
I20240417000732 VA Practitioner - Mental Health Counselor 4183063688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

213 Research Dr
Suite 101
Chesapeake, VA 23320-5996
Phone (757) 737-2898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0717001015VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightstar Counseling Services PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

213 Research Dr
Ste 101
Chesapeake, VA 23320
Phone (757) 737-2898

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, 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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861598120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 CASSWAY ARCH",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233233820",
            "telephone_number": "757-558-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 BATTLEFIELD BLVD N STE 115",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204516",
            "telephone_number": "757-312-8002",
            "fax_number": "757-312-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVOLACCI",
        "first_name": "RICHARD",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "LMFT LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0717001015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.