Organization Active NPI

Experience Restoration Corporation

  • Community/Behavioral Health Agency
  • Norfolk, VA
National Provider Identifier
1225889249
Registry record updated Dec 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EXPERIENCE RESTORATION CORPORATION
Practice address
2509 Kennon Ave
Norfolk, VA 23513-4318
Phone
(757) 805-4813
NPI assigned
Mar 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2025

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

Authorized official

Name
Sherrie Patrice Watson, LPCNPI 1700742368
Title
LMHP
Phone
(757) 805-4813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2509 Kennon Ave
Norfolk, VA 23513-4318

Mailing address

2509 Kennon Ave
Norfolk, VA 23513-4318
Phone (757) 805-4813

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766880000000",
    "number": "1225889249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 KENNON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235134318",
            "telephone_number": "757-805-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 KENNON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235134318",
            "telephone_number": "757-805-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE RESTORATION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "LMHP",
        "authorized_official_telephone_number": "757-805-4813",
        "authorized_official_credential": "LPC"
    },
    "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 Dec 28, 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.