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

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

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: September 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2026, Apr 29, 2026, Jul 23, 2024 and 1 more (4 updates tracked since 2022).

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 and is a graduate of Other (2011).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 25, 2011
Last NPPES UpdateSeptember 18, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 18, 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

Other Names 1

Former Name (1)Virginia A Dewitt

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Virginia A Datema Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305319153
PECOS Enrollment IDI20260624001264
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 Virginia Datema reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1300 E BRADFORD PKWY
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
  • 590 clinicians in this Medicare group

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 20

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

Social Worker (Clinical)
630 W KEARNEY ST
SPRINGFIELD, MO 65803
Social Worker (Clinical)
630 W KEARNEY ST
SPRINGFIELD, MO 65803
Marriage & Family Therapist
630 W KEARNEY ST
SPRINGFIELD, MO 65803
Social Worker (Clinical)
630 W KEARNEY ST
SPRINGFIELD, MO 65803
Social Worker (Clinical)
630 W KEARNEY ST
SPRINGFIELD, MO 65803
Social Worker (Clinical)
630 W KEARNEY ST
SPRINGFIELD, MO 65803
Counselor (Professional)
630 W KEARNEY ST
SPRINGFIELD, MO 65803
Counselor (Professional)
630 W KEARNEY ST
SPRINGFIELD, MO 65803

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 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.

Where is Virginia Datema located?

Virginia Datema practices at 630 W Kearney St, Springfield, MO 65803. The listed phone number is (417) 761-5000.

What is Virginia Datema's specialty?

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

Is Virginia Datema enrolled in Medicare?

Yes. Virginia Datema is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Virginia Datema's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Datema reassigns Medicare benefits to Burrell, Inc. (Springfield, MO). 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 Virginia Datema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Virginia Datema accept?

Health plans from Blue Cross and Blue Shield of Texas, Medica and UnitedHealthcare list Virginia Datema as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Virginia Datema was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 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.