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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. MARIAH BAINBRIDGE LPC
NPI 1053066423
Counselor - Professional in Virginia Beach, VA

Active since February 15, 2022PECOS Enrolled
780 LYNNHAVEN PKWY STE 110, VIRGINIA BEACH, VA 23452(804) 207-6737(757) 301-8803 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, Feb 15, 2022 (2 updates tracked since 2022).

About Mrs. Mariah Bainbridge Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARIAH BAINBRIDGE LPC (NPI 1053066423) is an individual professional provider in Virginia Beach, Virginia, licensed in Virginia (0701013052) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053066423
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MARIAH BAINBRIDGECredential: LPC
Location Address780 LYNNHAVEN PKWY STE 110Virginia Beach, VA 23452-7351
Mailing Address780 Lynnhaven Pkwy Ste 110Virginia Beach, VA 23452-7351 · (804) 207-6737 · Fax (757) 301-8803
Phone(804) 207-6737
Fax(757) 301-8803
Sole ProprietorNo
Enumeration DateFebruary 15, 2022
Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1053066423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701013052
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0704014637 (VA)
780 LYNNHAVEN PKWY STE 110, Virginia Beach, VA 23452
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Other Names 1

Former Name (1)Mariah Gavano

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mariah Bainbridge Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLE A WATSON MA LPC
Counselor (Professional)
780 LYNNHAVEN PKWY STE 110
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 301-8747
NOERIS MONTANEZ LPC
Counselor (Professional)
780 LYNNHAVEN PKWY STE 110
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 301-8747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariah Bainbridge's NPI number?

The NPI number for Mariah Bainbridge is 1053066423. It was assigned to this individual provider in the NPPES registry on February 15, 2022. The provider is also known as Mariah Gavano.

Where is Mariah Bainbridge located?

Mariah Bainbridge practices at 780 Lynnhaven Pkwy Ste 110, Virginia Beach, VA 23452. The listed phone number is (804) 207-6737.

What is Mariah Bainbridge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mariah Bainbridge enrolled in Medicare?

Yes. Mariah Bainbridge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariah Bainbridge was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.