Individual provider Active NPI

Shelby Lauren Dillingham, PHD

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1962201186
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014554 Issued in VA
Practice address
1504 Summit Pointe Dr Apt 434
Chesapeake, VA 23320-4764
Phone
(757) 301-5584
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701014554 VA Primary

Addresses

Primary practice location

1504 Summit Pointe Dr Apt 434
Chesapeake, VA 23320-4764

Mailing address

1504 Summit Pointe Dr Apt 434
Chesapeake, VA 23320-4764
Phone (757) 846-6795

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
I20250428003870 VA Practitioner - Mental Health Counselor 1254857766 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Jodi Baker-Hutchinson LLC CurrentSince Apr 1, 2025 Accepting new patients
Chesapeake Psychological Associates, LLC Past Accepting new patients

Locations

501 Cedar Rd
Ste 2A
Chesapeake, VA 23322
Phone (757) 302-8362

501 Cedar Rd
Ste 2C
Chesapeake, VA 23322
Phone (757) 468-0550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24900/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1962201186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SUMMIT POINTE DR APT 434",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204764",
            "telephone_number": "757-846-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SUMMIT POINTE DR APT 434",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204764",
            "telephone_number": "757-301-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLINGHAM",
        "first_name": "SHELBY",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.