Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Virginia A Datema, MS, LPC

Individual provider Professional Counselor · NPI 1114203981

Virginia A Datema, MS, LPC is a Mental Health Counselor in Springfield, Missouri. Qualified in 2011, 15 years ago. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

630 W Kearney St
Springfield, MO 65803-2508
Phone: (417) 761-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2011035770 (MO)

Record details

NPI number1114203981
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC
Sole proprietorNo
NPI enumeratedOctober 25, 2011
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address2885 W Battlefield St, Springfield, MO 65807-3952

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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