Individual provider Active NPI

Tawuana Brown

  • Professional Counselor
  • Suffolk, VA
National Provider Identifier
1275116253
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
707 Gittings St Ste 120
Suffolk, VA 23434-6101
Phone
(757) 514-3248
NPI assigned
Apr 28, 2021
Last updated
Apr 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

707 Gittings St Ste 120
Suffolk, VA 23434-6101

Mailing address

PO Box 4271
Suffolk, VA 23439-4271
Phone (302) 242-4931

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240826002392 VA Practitioner - Mental Health Counselor 7517406283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Newport News Community Services BoardGroup PAC ID 0446247480, 26 clinicians

Practice addresses (Care Compare)

200 Medical Dr a
Hampton, VA 23666-1763
Phone (757) 788-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wishing Well Mental Health Services, LLC CurrentSince Jun 26, 2022 Accepting new patients
Hampton Newport News Community Services Board Single Specialty CurrentSince Jun 2, 2024 Accepting new patients
Wishing Well Counseling Center, PLLC Single Specialty CurrentSince Dec 17, 2021 Accepting new patients

Locations

200 Medical Dr
Hampton, VA 23666
Phone (757) 374-0869

200 Medical Dr
#A
Hampton, VA 23666
Phone (757) 788-0200

300 Medical Dr
Hampton, VA 23666
Phone (757) 788-0092

300 Medical Dr
Fl 2
Hampton, VA 23666
Phone (757) 788-0092

600 Medical Dr
Ste Ab
Hampton, VA 23666
Phone (757) 788-0600

707 Gittings St
Ste 120
Suffolk, VA 23434
Phone (757) 514-3248

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1275116253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4271",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234394271",
            "telephone_number": "302-242-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 GITTINGS ST STE 120",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346101",
            "telephone_number": "757-514-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TAWUANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.