C&C Therapy Associates LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

C&C THERAPY ASSOCIATES LLC

Practice address

4169 Virginia Beach Blvd Ste 150
Virginia Beach, VA 23452-1783

Phone

(804) 641-5176

Fax

(757) 210-3996

NPI assigned

Jan 22, 2021

Organization subpart

No

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

Authorized official

Name

Tamara Childress, LPCNPI 1255769543

Title

Owner

Phone

(804) 641-5176

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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

• Tamara Waldron Childress, LPC

  • Professional Counselor
  • Richmond, VA
  • NPI 1255769543
  Medicare reassignment NPD Authorized official
• Elizabeth Ashley Orrison, MSED, LPC

  • Professional Counselor
  • Chesapeake, VA
  • NPI 1376273292
  Medicare reassignment NPD

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1265022354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 VIRGINIA BEACH BLVD STE 150",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521783",
            "telephone_number": "804-641-5176",
            "fax_number": "757-210-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 VIRGINIA BEACH BLVD STE 150",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521783",
            "telephone_number": "804-641-5176",
            "fax_number": "757-210-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&C THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-641-5176",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Byun, MD
• Elena V Byzewski, PT, DPT
• Kasey Byzewski
• C & R Divine Hands of Care
• C&B Essential Home Care, LLC
• C&T Concierge Care, LLC
• Calei Ca
• Ma Jazmine Alyssa Canlas Cabais
• Belinda Cabreja
• Taylor Caddell, DO

• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.