Individual provider Active NPI

Irene Beauty McGoughy

  • Developmentally Disabled Services Day Training Agency
  • Portsmouth, VA
National Provider Identifier
1134081516
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
11911067 Issued in VA
Practice address
4601 King St
Portsmouth, VA 23707-2217
Phone
(757) 541-0423
Fax
(757) 991-1608
NPI assigned
Nov 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 11911067 VA
Respite Care 385H00000X 11911067 VA
Developmentally Disabled Services Day Training Agency 251C00000X 11911067 VA Primary

Addresses

Primary practice location

4601 King St
Portsmouth, VA 23707-2217

Mailing address

4601 King St
Portsmouth, VA 23707-2217
Phone (757) 541-0423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11911067VAMDDevelopmentally Disabled Services Day Training Agency

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1134081516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 KING ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072217",
            "telephone_number": "757-541-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 KING ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072217",
            "telephone_number": "757-541-0423",
            "fax_number": "757-991-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOUGHY",
        "first_name": "IRENE",
        "middle_name": "BEAUTY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "11911067",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "11911067",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "11911067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

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