A Tiny Ripple of Hope, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

A TINY RIPPLE OF HOPE, LLC

Doing business as

A Tiny Ripple of Hope
A Tiny Ripple of Hope/ LLC
Shelby Teasley

Practice address

2405 Westwood Ave
Suite J
Henrico, VA 23230-4017

Phone

(804) 546-1717

Fax

(804) 269-4005

NPI assigned

Feb 23, 2022

Last updated

Oct 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shelby C Teasley, QMHPNPI 1093466872

Title

Owner

Phone

(804) 547-1617

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 3

• A Tiny Ripple of Hope Doing business as
• A Tiny Ripple of Hope/ LLC Doing business as
• Shelby Teasley Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelby Coshetta Teasley, QMHP-A,C

  • Professional Counselor
  • Mechanicsville, VA
  • NPI 1093466872
  NPD Authorized official

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1023764529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 WESTWOOD AVE",
            "address_2": "SUITE J",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232304017",
            "telephone_number": "804-804-5471",
            "fax_number": "804-269-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 WESTWOOD AVE",
            "address_2": "SUITE J",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232304017",
            "telephone_number": "804-546-1717",
            "fax_number": "804-269-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TINY RIPPLE OF HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "TEASLEY",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-547-1617",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017494230001",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "atrohllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "atrohllc@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "emaile",
            "address_1": "7300 Hanover Green Dr Ste 300-A",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231111705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "A Tiny Ripple of Hope",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Tiny Ripple of Hope/ LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shelby Teasley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shelby Teasley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.