MRS. MARIAH BAINBRIDGE
NPI 1053066423
Counselor - Mental Health in Virginia Beach, VA

Q: 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.

Q: What is Mariah Bainbridge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Mariah Bainbridge was last updated on February 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 15, 2022PECOS Enrolled

780 LYNNHAVEN PKWY STE 340, VIRGINIA BEACH, VA 23452(757) 694-4723 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Mariah Bainbridge NPPES

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

MRS. MARIAH BAINBRIDGE (NPI 1053066423) is an individual mental health provider in Virginia Beach, Virginia, licensed in Virginia (0704014637) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053066423

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. MARIAH BAINBRIDGE

Location Address780 LYNNHAVEN PKWY STE 340Virginia Beach, VA 23452-7361

Mailing Address821 Daimler DrVirginia Beach, VA 23454-6970

Phone(757) 694-4723

Sole ProprietorYes

Enumeration DateFebruary 15, 2022

NPPES CertifiedFebruary 15, 2022

✔ NPI 1053066423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in VA · 0704014637

780 LYNNHAVEN PKWY STE 340, 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 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 20

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

DR. RUSSELL CRAWFORD PHD, LPC, NCC

Counselor (Professional)