Individual provider Active NPI

Bryana Weaver, LPC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1952753634
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006630 Issued in VA
Practice address
1642 Pleasure House Rd Ste 102
Virginia Beach, VA 23455-4050
Phone
(757) 578-2985
Fax
(757) 578-5064
NPI assigned
Jul 6, 2016
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC008403 PA
Professional Counselor 101YP2500X 0701006630 VA Primary

Addresses

Primary practice location

1642 Pleasure House Rd Ste 102
Virginia Beach, VA 23455-4050

Mailing address

1642 Pleasure House Rd Ste 102
Virginia Beach, VA 23455-4050
Phone (757) 578-2985

Other practice location 1

15064 Carrollton Blvd Ste 19
Carrollton, VA 23314-3580
Phone (757) 578-2985

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
I20250423001669 VA Practitioner - Mental Health Counselor 6002162526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC008403PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wholehearted Counseling Professional CurrentSince Apr 9, 2025 Accepting new patients

Locations

15064 Carrollton Blvd
Ste 19
Carrollton, VA 23314
Phone (757) 373-3953

1642 Pleasure House Rd
Ste 102
Virginia Beach, VA 23455
Phone (757) 578-2985

1700 Pleasure House Rd
Ste 102A
Virginia Beach, VA 23455
Phone (757) 251-0879

4433 Corporation Ln
Ste 175
Virginia Beach, VA 23462
Phone (757) 578-2985

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1952753634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 PLEASURE HOUSE RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554050",
            "telephone_number": "757-578-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 PLEASURE HOUSE RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554050",
            "telephone_number": "757-578-2985",
            "fax_number": "757-578-5064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15064 Carrollton Blvd Ste 19",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "VA",
            "postal_code": "233143580",
            "country_code": "US",
            "telephone_number": "757-578-2985",
            "fax_number": "757-578-5064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BRYANA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008403",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.