NPIMap

Organization Active NPI

Pil LLC

  • Community/Behavioral Health Agency
  • Virginia Beach, VA
National Provider Identifier
1114382009
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1681-03-001 Issued in VA
Legal business name
PIL LLC
Practice address
522 S Independence Blvd
Ste 102D
Virginia Beach, VA 23452-1149
Phone
(757) 735-0153
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Mr. Terrell Cuffee, LPCNPI 1619349248
Title
Ceo / Program Director
Phone
(757) 735-0153

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
Community/Behavioral Health Agency 251S00000X 1681-03-001 VA Primary

Addresses

Primary practice location

522 S Independence Blvd
Ste 102D
Virginia Beach, VA 23452-1149

Mailing address

522 S Independence Blvd
Ste 102D
Virginia Beach, VA 23452-1149
Phone (757) 735-0153

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251205000577 VA Part B Supplier - Clinic/Group Practice 6204329469 Receives reassigned benefits from 4 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

522 S Independence Blvd
Ste 102D
Virginia Beach, VA 23452
Phone (757) 340-5647

Practitioners & affiliated clinicians

Practitioners 4

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": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1114382009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S INDEPENDENCE BLVD",
            "address_2": "STE 102D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521149",
            "telephone_number": "757-735-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S INDEPENDENCE BLVD",
            "address_2": "STE 102D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521149",
            "telephone_number": "757-735-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "CUFFEE",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_title_or_position": "CEO / PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "757-735-0153",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1681-03-001",
            "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 Dec 21, 2015; 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.