Individual provider Active NPI

Dorescia Rachelle Paige-Perry, LPC

  • Mental Health Counselor
  • Chesapeake, VA
National Provider Identifier
1922630474
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701008932 Issued in VA
Practice address
3101 American Legion Rd Ste 21B
Chesapeake, VA 23321-5699
Phone
(757) 750-0715
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701008932 VA Primary

Addresses

Primary practice location

3101 American Legion Rd Ste 21B
Chesapeake, VA 23321-5699

Mailing address

2538 Shamrock Garden Rd
Chesapeake, VA 23323-3757
Phone (757) 750-0715

Other practice location 1

835 20th St
Newport News, VA 23607-5301
Phone (757) 245-1070

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
I20250207000305 VA Practitioner - Mental Health Counselor 4688104581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael S. Weissman, PH.D.,LTDGroup PAC ID 1355314170, 16 clinicians

Practice addresses (Care Compare)

3101 American Legion Rd
Suite 21B
Chesapeake, VA 23321-5699
Phone (757) 483-3404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701008932VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Weissman, PH.D.,LTD CurrentSince Dec 9, 2024 Accepting new patients
Coastal Light Counseling & Psychotherapy, PLLC PastSince Apr 9, 2023 Accepting new patients
Coastal Light Counseling & Psychology, PLLC PastSince Apr 9, 2023 Accepting new patients
Psychotherapy Resources of Norfolk LTD PastSince Dec 8, 2024 Accepting new patients

Locations

3101 American Legion Rd
Ste 21B
Chesapeake, VA 23321
Phone (757) 483-3404

Organizations & group practices 4

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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1922630474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 SHAMROCK GARDEN RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233233757",
            "telephone_number": "757-750-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 AMERICAN LEGION RD STE 21B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215699",
            "telephone_number": "757-750-0715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 20th St",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236075301",
            "country_code": "US",
            "telephone_number": "757-245-1070",
            "fax_number": "757-245-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIGE-PERRY",
        "first_name": "DORESCIA",
        "middle_name": "RACHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701008932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.