MRS. MANDY BASS MA, LPC, NCC
NPI 1396386025
Counselor - Professional in Midlothian, VA

Q: What is Mandy Bass's NPI number?

The NPI number for Mandy Bass is 1396386025. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Q: What is Mandy Bass'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 Mandy Bass was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since October 03, 2019PECOS EnrolledAccepts Medicare Assignment

14411 JUSTICE RD STE B, MIDLOTHIAN, VA 23113(434) 962-9730(276) 597-5158 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2023, Oct 12, 2021, Mar 3, 2021 and 3 more (6 updates tracked since 2019).

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About Mrs. Mandy Bass Ma, Lpc, Ncc NPPES

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

MRS. MANDY BASS MA, LPC, NCC (NPI 1396386025) is an individual professional provider in Midlothian, Virginia, licensed in Virginia (0701008636) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1396386025

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. MANDY BASSCredential: MA, LPC, NCC

Location Address14411 JUSTICE RD STE BMidlothian, VA 23113-6907

Mailing Address17000 Old Westridge DrMoseley, VA 23120-2340 · (434) 962-9730

Phone(434) 962-9730

Fax(276) 597-5158

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 3, 2019

Last NPPES UpdateNovember 15, 20236 updates tracked since enumeration

NPPES CertifiedNovember 15, 2023

✔ NPI 1396386025 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 VA · 0701008636

14411 JUSTICE RD STE B, Midlothian, VA 23113

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Other Identifiers 1

Medicaid601448936VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mandy Bass Ma, Lpc, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800209131

PECOS Enrollment IDI20240506003827

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 6

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

THE WHIMSICAL PATH COUNSELING LLC

Counselor (Professional)