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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: November 01, 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 and maintains a secondary practice location in Virginia Beach.

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
Open in Google Maps ↗

Other Names 1

Former Name (1)Mariah Gavano

Secondary Practice Location 1

Location 1780 Lynnhaven Pkwy Ste 340Virginia Beach, VA 23452-7361 · Phone (804) 207-6737 · Fax (757) 301-8803

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mariah Bainbridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Commonwealth Counseling Associates Inc
94 mi
Clinical
9202 CENTER OAK CT
Mechanicsville, VA 23116
  • Reassigned Medicare billing, Virginia enrollment
  • 239 clinicians in this Medicare group
NPI 1851345805 (804) 207-6737

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

OLGA L RUSSO LPC-R
Counselor (Mental Health)
780 LYNNHAVEN PKWY STE 110
VIRGINIA BEACH, VA 23452
Virginia Beach City (844) 863-4621
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.

Which organization bills Medicare for Mariah Bainbridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariah Bainbridge reassigns Medicare benefits to Commonwealth Counseling Associates Inc (Mechanicsville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariah Bainbridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 months 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.