Individual provider Active NPI

Laura Silzle Maloney, ATR-BC, LPC, LMFT

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1881776128
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003466 Issued in VA
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

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010001625MedicaidVA
1881776128MedicaidVA
071700169OtherVALMFT
07010003466OtherVALPC
1881776128OtherPROFESSIONAL COUNSELOR

Other names 1

  • Laura J Silzle Former name

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
I20250317002975 VA Practitioner - Mental Health Counselor 2961833124 Reassigns benefits to 1 organization

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
Bold Ruler LLCGroup PAC ID 2961833116, 3 clinicians

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

LicenseStateTypeSpecialty
0717001169VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bold Ruler, LLC Professional CurrentSince Jan 1, 2019 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.

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

Verify at the official NPI Registry.