NPIMap

Organization Active NPI

Wholehearted Counseling

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1093202541
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007147 Issued in VA
Legal business name
WHOLEHEARTED COUNSELING
Practice address
1642 Pleasure House Rd Ste 102
Virginia Beach, VA 23455-4050
Phone
(757) 578-2985
Fax
(757) 578-5064
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Bryana WeaverNPI 1952753634
Title
President
Phone
(757) 578-2985

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0701006630 VA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0904007147 VA Primary

Addresses

Primary practice location

1642 Pleasure House Rd Ste 102
Virginia Beach, VA 23455-4050

Mailing address

1642 Pleasure House Rd Ste 102
Virginia Beach, VA 23455-4050
Phone (757) 578-2985

Other practice location 1

15064 Carrollton Blvd Ste 19
Carrollton, VA 23314-3582
Phone (757) 373-3953

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180712002612 VA Part B Supplier - Clinic/Group Practice 5597011007 Receives reassigned benefits from 18 practitioners
Practice locations: Carrollton, VA; Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

15064 Carrollton Blvd
Ste 19
Carrollton, VA 23314
Phone (757) 373-3953

1700 Pleasure House Rd
Ste 102A
Virginia Beach, VA 23455
Phone (757) 251-0879

1642 Pleasure House Rd
Ste 102
Virginia Beach, VA 23455
Phone (757) 578-2985

4433 Corporation Ln
Ste 175
Virginia Beach, VA 23462
Phone (757) 578-2985

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1093202541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 PLEASURE HOUSE RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554050",
            "telephone_number": "757-578-2985",
            "fax_number": "757-578-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 PLEASURE HOUSE RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554050",
            "telephone_number": "757-578-2985",
            "fax_number": "757-578-5064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15064 Carrollton Blvd Ste 19",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "VA",
            "postal_code": "233143582",
            "country_code": "US",
            "telephone_number": "757-373-3953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLEHEARTED COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "BRYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-578-2985"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006630",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.