Active NPI
Reviving Wellness Counseling
- Professional Counselor
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004008
- Legal business name
- REVIVING WELLNESS COUNSELING
- Practice address
- 3630 S Plaza TRL Ste 150a
Virginia Beach, VA 23452-3371 - Phone
- (757) 373-5128
- Fax
- (757) 431-0700
- NPI assigned
- Mar 9, 2016
- 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
- Mrs. Tina Robin Curran-Taylor, LPC
- Title
- Practice Owner
- Phone
- (757) 373-5128
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004008 | VA | Primary |
Addresses
Primary practice location
3630 S Plaza TRL Ste 150a
Virginia Beach, VA 23452-3371
Mailing address
3630 S Plaza TRL Ste 150a
Virginia Beach, VA 23452-3371
Phone (757) 373-5128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
250 W Main St
Ste 101
Charlottesvle, VA 22902
Phone (434) 466-2453
3630 S Plaza Trl
Ste 150A
Virginia Beach, VA 23452
Phone (757) 373-5128
4356 Bonney Rd
Bldg 1
Virginia Beach, VA 23452
Phone (757) 962-2326
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Virginia Beach, VA
- NPI 1700958188
-
- Mental Health Counselor
- Virginia Beach, VA
- NPI 1750999280
-
- Clinical Social Worker
- Charlottesville, VA
- NPI 1831137884
-
- Clinical Social Worker
- Charlottesville, VA
- NPI 1710030648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595548800000",
"number": "1104287804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 S PLAZA TRL STE 150A",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234523371",
"telephone_number": "757-373-5128",
"fax_number": "757-431-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 S PLAZA TRL STE 150A",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234523371",
"telephone_number": "757-373-5128",
"fax_number": "757-431-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVIVING WELLNESS COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-09",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A",
"authorized_official_last_name": "CURRAN-TAYLOR",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "ROBIN",
"authorized_official_title_or_position": "PRACTICE OWNER",
"authorized_official_telephone_number": "757-373-5128",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004008",
"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 Jul 24, 2020; 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.