Individual provider Active NPI

Marie Schiller, LMFT

  • Marriage & Family Therapist
  • Virginia Beach, VA
National Provider Identifier
1962485003
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001054 Issued in VA
Practice address
309 Lynnhaven Pkwy Ste 100
Virginia Beach, VA 23452-7411
Phone
(757) 635-5008
Fax
(757) 277-0291
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717001054 VA Primary

Addresses

Primary practice location

309 Lynnhaven Pkwy Ste 100
Virginia Beach, VA 23452-7411

Mailing address

309 Lynnhaven Pkwy Ste 100
Virginia Beach, VA 23452-7411
Phone (757) 635-5008

Other practice location 1

256 N Witchduck Rd
Suite G
Virginia Beach, VA 23462-6544
Phone (757) 497-3670

Other identifiers 1

IdentifierTypeStateIssuer
010142733MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL marieschiller@schillercoaching.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0717001054VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Schiller Coaching Services, PC Current Accepting new patients
Tidewater Psychotherapy Services PastSince Apr 1, 2005 Accepting new patients

Locations

309 Lynnhaven Pkwy
Ste 100
Virginia Beach, VA 23452
Phone (757) 330-8822

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1962485003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 LYNNHAVEN PKWY STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527411",
            "telephone_number": "757-635-5008",
            "fax_number": "757-277-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 LYNNHAVEN PKWY STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527411",
            "telephone_number": "757-635-5008",
            "fax_number": "757-277-0291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 N Witchduck Rd",
            "address_2": "Suite G",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234626544",
            "country_code": "US",
            "telephone_number": "757-497-3670",
            "fax_number": "757-499-1947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHILLER",
        "first_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010142733",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marieschiller@schillercoaching.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "309 Lynnhaven Pkwy Ste 100",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234527411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.