Individual provider Active NPI

Eliza Adhikari, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1962011346
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024179814 Issued in VA
Practice address
10710 Midlothian Tpke Ste 127
North Chesterfield, VA 23235-4776
Phone
(804) 220-0903
NPI assigned
Jul 30, 2020
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024179814 VA Primary

Addresses

Primary practice location

10710 Midlothian Tpke Ste 127
North Chesterfield, VA 23235-4776

Mailing address

14210 Brenham Dr
Centreville, VA 20121-5331
Phone (703) 321-6499

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201215000832 VA Practitioner - Nurse Practitioner 7416369525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Old Towne Counseling Services LLCGroup PAC ID 7618149865, 28 clinicians

Practice addresses (Care Compare)

7489 Right Flank Rd
Suite 330
Mechanicsville, VA 23116-3845
Phone (804) 398-8401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Old Towne Counseling Services, LLC CurrentSince Sep 13, 2022 Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. PastSince Aug 2, 2020 Accepting new patients

Locations

7489 Right Flank Rd
Ste 330
Mechanicsvlle, VA 23116

Interoperability endpoints

  • Direct secure messaging: commonwealthcounselingassociates.elizaadhikari@134000.advancedmd-direct.com

Organizations & group practices 2

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": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1962011346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 BRENHAM DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215331",
            "telephone_number": "703-321-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MIDLOTHIAN TPKE STE 127",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354776",
            "telephone_number": "804-220-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADHIKARI",
        "first_name": "ELIZA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024179814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.