Roxanne N Costley, MA, LPC RESIDENT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0704011553 Issued in VA

Practice address

291 Independence Blvd Ste 532
Virginia Beach, VA 23462-5473

Phone

(757) 962-6889

NPI assigned

Mar 12, 2021

Sex

Female

Sole proprietor

Yes

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

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.

• H.O.P.E. Family Support Services, Inc

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1235646043
  NPD

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1932784725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 STONEY PT N",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023923",
            "telephone_number": "757-506-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD STE 532",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625473",
            "telephone_number": "757-962-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTLEY",
        "first_name": "ROXANNE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC RESIDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704011553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Coslow, RN
• Cosmetic Surgery Center for Women
• Autumn Cossett
• Pietra Costa Godinho
• Gillian Costa, MD
• Mathieu Cote, MILITARY/SOIDC
• Taylor Coticchio, OTR/L
• Bradley Nicholas Cotrina, MD
• Jenifer Cotter, N.P.
• Lisa M. Cotthaus, PT, DPT

• Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.