Active NPI
Laura Silzle Maloney, ATR-BC, LPC, LMFT
- Professional Counselor
- Norfolk, VA
National Provider Identifier
1881776128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003466
- Practice address
- 821 W 21St St Ste 209
Norfolk, VA 23517-1500 - Phone
- (757) 472-1379
- Fax
- (757) 585-3521
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717001169 | VA | |
| Professional Counselor | 101YP2500X | 0701003466 | VA | Primary |
Addresses
Primary practice location
821 W 21St St Ste 209
Norfolk, VA 23517-1500
Mailing address
208 Burleigh Ave
Norfolk, VA 23505-3413
Phone (757) 630-3301
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010001625 | Medicaid | VA | |
| 1881776128 | Medicaid | VA | |
| 071700169 | Other | VA | LMFT |
| 07010003466 | Other | VA | LPC |
| 1881776128 | Other | PROFESSIONAL COUNSELOR |
Other names 1
- Laura J Silzle
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Eastern Virginia Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
821 W 21St St
Suite 209
Norfolk, VA 23517-1500
Phone (757) 280-1777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0717001169 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bold Ruler, LLC | Professional | Current | Accepting new patients |
Locations
821 W 21st St
Ste 209
Norfolk, VA 23517
Phone (757) 280-1777
900 Granby St
Ste 274
Norfolk, VA 23510
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.
-
- Professional Counselor
- Norfolk, VA
- NPI 1316404544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1881776128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 BURLEIGH AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235053413",
"telephone_number": "757-630-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 W 21ST ST STE 209",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235171500",
"telephone_number": "757-472-1379",
"fax_number": "757-585-3521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "LAURA",
"middle_name": "SILZLE",
"name_prefix": "Ms.",
"credential": "ATR-BC, LPC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717001169",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010001625",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881776128",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "071700169",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "07010003466",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL COUNSELOR",
"identifier": "1881776128",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "SILZLE",
"middle_name": "J",
"credential": "LPC, LMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.