Organization Active NPI

Resilience Professional Counseling, LLC

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1982170346
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RESILIENCE PROFESSIONAL COUNSELING, LLC
Practice address
1403 Greenbrier Pkwy Ste 150
Chesapeake, VA 23320-0624
Phone
(757) 288-6274
Fax
(855) 421-1800
NPI assigned
Oct 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Ms. Mary Durkin, LPCNPI 1447768874
Title
Managing Member
Phone
(757) 288-6274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1403 Greenbrier Pkwy Ste 150
Chesapeake, VA 23320-0624

Mailing address

2116 Hickory Forest Dr
Chesapeake, VA 23322-1758
Phone (757) 288-6274

Other identifiers 1

IdentifierTypeStateIssuer
601258624MedicaidVA

National Provider Directory

National Provider Directory

Locations

1403 Greenbrier Pkwy
Ste 150
Chesapeake, VA 23320
Phone (757) 235-1760

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1982170346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 HICKORY FOREST DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233221758",
            "telephone_number": "757-288-6274",
            "fax_number": "855-421-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 GREENBRIER PKWY STE 150",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200624",
            "telephone_number": "757-288-6274",
            "fax_number": "855-421-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE PROFESSIONAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "DURKIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "757-288-6274",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601258624",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

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