Organization Active NPI

Strengthen & Empower Neurofeedback Services, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport News, VA
National Provider Identifier
1013764455
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
STRENGTHEN & EMPOWER NEUROFEEDBACK SERVICES, LLC.
Practice address
739 Thimble Shoals Blvd Ste 704
Newport News, VA 23606-3586
Phone
(757) 597-8350
NPI assigned
May 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Dattilo WattsNPI 1124669858
Title
LMFT
Phone
(757) 597-8350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

739 Thimble Shoals Blvd Ste 704
Newport News, VA 23606-3586

Mailing address

739 Thimble Shoals Blvd
Ste 704 Box # 11
Newport News, VA 23606
Phone (757) 597-8350

Other names 1

  • Strengthen & Empower Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240626003154 VA Part B Supplier - Clinic/Group Practice 9638613045 Receives reassigned benefits from 1 practitioner
Practice locations: Newport News, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1013764455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 THIMBLE SHOALS BLVD",
            "address_2": "STE 704 BOX # 11",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-597-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 THIMBLE SHOALS BLVD STE 704",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063586",
            "telephone_number": "757-597-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRENGTHEN & EMPOWER NEUROFEEDBACK SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "DATTILO WATTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "757-597-8350"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strengthen & Empower Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.