Organization Active NPI

Community Behavioral Resource Group

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1184932105
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1251 Issued in VA
Legal business name
COMMUNITY BEHAVIORAL RESOURCE GROUP
Practice address
4099 Foxwood Dr
Suite 108
Virginia Beach, VA 23462-5222
Phone
(757) 737-7895
NPI assigned
Sep 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Mr. Paul L Bratton II, MPA
Title
Manager
Phone
(804) 399-2681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1251 VA Primary

Addresses

Primary practice location

4099 Foxwood Dr
Suite 108
Virginia Beach, VA 23462-5222

Mailing address

4099 Foxwood Dr
Suite 108
Virginia Beach, VA 23462-5222
Phone (757) 737-7895

National Provider Directory

National Provider Directory

Locations

4099 Foxwood Dr
Ste 108
Virginia Beach, VA 23462
Phone (757) 737-7895

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1184932105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4099 FOXWOOD DR",
            "address_2": "SUITE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625222",
            "telephone_number": "757-737-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 FOXWOOD DR",
            "address_2": "SUITE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625222",
            "telephone_number": "757-737-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BEHAVIORAL RESOURCE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "BRATTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-399-2681",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "1251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.