MRS. MANDY BASS (MA, LPC, NCC) – Counselor, NPI 1396386025

MRS. MANDY BASS (MA, LPC, NCC) is a healthcare provider. based in Barboursville, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPC, NCC. They hold a License No. 0701008636 (VA). The NPI Number for MRS. MANDY BASS (MA, LPC, NCC) is 1396386025

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MANDY BASS (MA, LPC, NCC)
NPI
1396386025
Phone
(434) 962-9730
Address
85 ROSEWOOD DR
Enumeration Date
3 October 2019
Last Update Date
15 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4349629730
Graduation Year
2015 (11 years ago)
PAC ID
6800209131
Group Practice PAC ID
4385084417
Professional Enrollment ID
I20240506003827
Address ID
VA231136907MI14411RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for MRS. MANDY BASS (MA, LPC, NCC)

  • 85 ROSEWOOD DR

    BARBOURSVILLE, VA 229238569

    Phone: (434) 962-9730

    Type: Mailing

  • 69 DEANE RD

    RUCKERSVILLE, VA 229683482

    Phone: (434) 962-9730

    Type: Location

  • 14702 VILLAGE SQUARE PL

    MIDLOTHIAN, VA 231122253

    Phone: (434) 962-9730

    Type: Mailing

  • 14700 VILLAGE SQUARE PL

    MIDLOTHIAN, VA 231122253

    Phone: (434) 962-9730

    Fax: (276) 597-5158

    Type: Location

  • 17000 OLD WESTRIDGE DR

    MOSELEY, VA 231202340

    Phone: (434) 962-9730

    Type: Mailing

  • 14411 JUSTICE RD STE B

    MIDLOTHIAN, VA 231136907

    Phone: (434) 962-9730

    Fax: (276) 597-5158

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240506003827IMental Health CounselorVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22923)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385084417View full group profile
NameSpecialtyState
Mental Health CounselorVA

Reviews

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Frequently asked questions

How is MRS. MANDY BASS (MA, LPC, NCC) identified in CMS data?
CMS-hosted NPPES data lists MRS. MANDY BASS (MA, LPC, NCC) with NPI 1396386025.
Does the file indicate MRS. MANDY BASS (MA, LPC, NCC) is practicing under active NPI?
Directory data currently reports MRS. MANDY BASS (MA, LPC, NCC) as active.
What taxonomy line describes MRS. MANDY BASS (MA, LPC, NCC)?
For research purposes, treat MRS. MANDY BASS (MA, LPC, NCC) as Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. MANDY BASS (MA, LPC, NCC)?
MRS. MANDY BASS (MA, LPC, NCC)'s geographic hint is Barboursville, Virginia in our summary view.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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