Active NPI
Tidewater Counseling Group, LLC
- Community/Behavioral Health Agency
- Newport News, VA
National Provider Identifier
1093223968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TIDEWATER COUNSELING GROUP, LLC
- Practice address
- 12695 McManus Blvd BLDG 7B
Newport News, VA 23602-4476 - Phone
- (757) 753-6399
- Fax
- (757) 527-4493
- NPI assigned
- Jan 13, 2018
- Last updated
- Jan 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nneka Bartlett, BS, MPA, QMHP-A, CEO
- Title
- Ceo
- Phone
- (757) 753-6399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
12695 McManus Blvd BLDG 7B
Newport News, VA 23602-4476
Mailing address
12695 McManus Blvd BLDG 7B
Newport News, VA 23602-4476
Phone (757) 753-6399
National Provider Directory
National Provider DirectoryLocations
12695 McManus Blvd
Bldg 7B
Newport News, VA 23602
Phone (757) 753-6399
Practitioners & affiliated clinicians
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.
-
- Counselor
- Newport News, VA
- NPI 1790861193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515801600000",
"number": "1093223968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12695 MCMANUS BLVD BLDG 7B",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236024476",
"telephone_number": "757-753-6399",
"fax_number": "757-527-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12695 MCMANUS BLVD BLDG 7B",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236024476",
"telephone_number": "757-753-6399",
"fax_number": "757-527-4493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIDEWATER COUNSELING GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-13",
"last_updated": "2018-01-13",
"status": "A",
"authorized_official_last_name": "BARTLETT",
"authorized_official_first_name": "NNEKA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-753-6399",
"authorized_official_credential": "BS, MPA, QMHP-A, CEO"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
- Nehemiah Thrash Jr., MD
- Three Angels Medical Transportation LLC
- Ligeng Tian, B.M.
- Tidal Family Eye Care, LLC
- Tidewater Behavior Project
- Tidewater Family Dentistry (a division of Atlantic Dental Care)
- Tidewater Foot Center LLC
- Tidewater Hearing Center (Miracle Ear)
- Tidewater Institute of NLP
- Tidewater Physical Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.