CMS-1500 Box 24J / 33a • NPI
1558402321
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
101YA0400X
Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)
Box 32 Service Location & ZIP+4
1417 N BATTLEFIELD, #260 COASTAL COUNSELING CENTER, CHESAPEAKE, VA, 23320
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1558402321 (STELLA VIRGINIA EUBANKS, LPC LSATP LMFT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1558402321 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | STELLA VIRGINIA EUBANKS, LPC LSATP LMFT |
| Plain-English Specialty | Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) NUCC Code: 101YA0400X (Counselor, Addiction (Substance Use Disorder)) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1417 N BATTLEFIELD, #260 COASTAL COUNSELING CENTER, CHESAPEAKE, VA, 23320 |
| Practice Telephone / Fax | Tel: (757) 436-0605 | Fax: (757) 436-0023 |
| Administrative Mailing Address | 823 HIGH POINT AVE, VA BEACH, VA, 23451 |
| Enumeration & Last Sync | Enumerated: 2007-02-12 | CMS Record Updated: 2025-09-11 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (101YA0400X)
What Does Taxonomy Code 101YA0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YA0400X translates to:
"Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (STELLA VIRGINIA EUBANKS, LPC LSATP LMFT)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: VA | License: 0701002500 | Primary: Secondary |
101YA0400X — Counselor, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) | State: VA | License: 0718000088 | Primary: Yes (Primary) |
106H00000X — Marriage & Family TherapistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist | State: VA | License: 0717000699 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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