Organization Active NPI

Winstead Wellness Center LLC

  • Community/Behavioral Health Agency
  • Norfolk, VA
National Provider Identifier
1124808555
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WINSTEAD WELLNESS CENTER LLC
Practice address
5215 Colley Ave
Norfolk, VA 23508-2166
Phone
(919) 357-3279
NPI assigned
Oct 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Eric Winstead
Title
Ceo
Phone
(919) 357-3279

Specialties & licenses 1

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

Addresses

Primary practice location

5215 Colley Ave
Norfolk, VA 23508-2166

Mailing address

713 Round Bay Rd
Norfolk, VA 23502-3512
Phone (919) 357-3279

Other identifiers 1

IdentifierTypeStateIssuer
9147MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1124808555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 ROUND BAY RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023512",
            "telephone_number": "919-357-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 COLLEY AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082166",
            "telephone_number": "919-357-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTEAD WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "WINSTEAD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-357-3279"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9147",
            "state": "VA"
        }
    ],
    "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 Jan 24, 2025; 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.