VIRGINIA A DATEMA MS, LPC
NPI 1114203981
Counselor - Professional in Springfield, MO

Q: What is Virginia Datema's NPI number?

The NPI number for Virginia Datema is 1114203981. It was assigned to this individual provider in the NPPES registry on October 25, 2011. The provider is also known as Virginia A Dewitt.

Q: What is Virginia Datema's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Virginia Datema was last updated on June 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 25, 2011PECOS Enrolled

630 W KEARNEY ST, SPRINGFIELD, MO 65803(417) 761-5000 Get Directions Write a Review

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

Record update history: Apr 29, 2026, Jul 23, 2024, Aug 5, 2022 (3 updates tracked since 2022).

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About Virginia A Datema Ms, Lpc NPPES

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

VIRGINIA A DATEMA MS, LPC (NPI 1114203981) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2011035770) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114203981

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameVIRGINIA A DATEMACredential: MS, LPC

Location Address630 W KEARNEY STSpringfield, MO 65803-2508

Mailing Address2885 W Battlefield StSpringfield, MO 65807-3952 · (417) 761-5000

Phone(417) 761-5000

Sole ProprietorNo

Enumeration DateOctober 25, 2011

Last NPPES UpdateJune 26, 20263 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1114203981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 2011035770

630 W KEARNEY ST, Springfield, MO 65803

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Other Names 1

Former Name (1)Virginia A Dewitt

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Virginia A Datema Ms, 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 20

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

JESSICA A ALDRICH LMSW

Social Worker (Clinical)