Organization Active NPI

Fresh Start Counseling Service LLC

  • Community/Behavioral Health Agency
  • Norfolk, VA
National Provider Identifier
1124800420
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FRESH START COUNSELING SERVICE LLC
Practice address
219 Greenbrier Ave
Norfolk, VA 23505-1169
Phone
(757) 937-1243
NPI assigned
Oct 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Mr. Troy Everett Davis
Title
Ceo/ Director
Phone
(757) 971-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

219 Greenbrier Ave
Norfolk, VA 23505-1169

Mailing address

219 Greenbrier Ave
Norfolk, VA 23505-1169
Phone (757) 937-1243

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1124800420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 GREENBRIER AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235051169",
            "telephone_number": "757-937-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 GREENBRIER AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235051169",
            "telephone_number": "757-937-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START COUNSELING SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "CEO/ DIRECTOR",
        "authorized_official_telephone_number": "757-971-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.