Organization Active NPI

Level Up Counseling and Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chesapeake, VA
National Provider Identifier
1114658465
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LEVEL UP COUNSELING AND CONSULTING
Practice address
636 Ravenwoods Dr
Chesapeake, VA 23322-2754
Phone
(757) 286-2224
NPI assigned
Jun 17, 2022
Last updated
Jun 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Mrs. Ian Bolling, M.A., J.D.
Title
Member/Practice Manager
Phone
(757) 268-1917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

636 Ravenwoods Dr
Chesapeake, VA 23322-2754

Mailing address

636 Ravenwoods Dr
Chesapeake, VA 23322-2754
Phone (757) 286-2224

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NA Other

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1114658465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 RAVENWOODS DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222754",
            "telephone_number": "757-286-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 RAVENWOODS DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222754",
            "telephone_number": "757-286-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL UP COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "BOLLING",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "MEMBER/PRACTICE MANAGER",
        "authorized_official_telephone_number": "757-268-1917",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., J.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "636 Ravenwoods Dr",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233222754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.