Gwendolyn Rose Mbuvi, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001725 Issued in VA

Practice address

15 Research Dr Ste a
Hampton, VA 23666-1324

Phone

(757) 315-8039

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bird on a Wire, LLC

  • Marriage & Family Therapist
  • Hampton, VA
  • NPI 1760065858
  Medicare reassignment NPD Authorized official
• Phenomenal Care, LLC

  • Marriage & Family Therapist
  • Hampton, VA
  • NPI 1578330544
  NPD Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1174131452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007C VICTORY BLVD # 330",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RESEARCH DR STE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661324",
            "telephone_number": "757-315-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBUVI",
        "first_name": "GWENDOLYN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana K Maynor
• Kayla Mazza
• Bridget Marie Mazzoni, PA-C
• Glory Mbong-Ngwa
• MBS Child Wellness Center
• Richard B. McAdam, M.D.
• Rachel L McAdams, NP
• Lindsey McAlonan, PT, DPT
• Donna McCain
• Kristin Lashae Taylor McCall, LPC

• Marriage & Family Therapist in Hampton, VA
• Providers in Hampton, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.