CITY OF VIRGINIA BEACH – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1861562472
Mental Health Clinic/Center (Including Community Mental Health Center)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CITY OF VIRGINIA BEACH
3143 MAGIC HOLLOW BLVD STE 200
VIRGINIA BEACH, VA 234533077
Phone: (757) 385-0687
Fax: (757) 306-5801
Type: Location
289 Independence Blvd
Suite 312
Virginia Beach, VA 234625493
Phone: (757) 385-0684
Fax: (757) 493-5456
Type: Location
3432 VIRGINIA BEACH BLVD
VIRGINIA BEACH, VA 234524420
Phone: (757) 385-0684
Fax: (757) 306-5801
Type: Mailing
Independence Boulevard, Fentress, Reedtown, Virginia Beach, Virginia, 23455, United States
STE 312
VIRGINIA BEACH, VA 234625493
Phone: (757) 385-0684
Fax: (757) 493-5456
Type: Mailing
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: 2004-02-03
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (624 days ago).
Enrollment records
1
Earliest due date
2024-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040203000933 | O | Clinic/Group Practice | VA | 2024-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 23453)
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