Integrity Counseling Collective, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

INTEGRITY COUNSELING COLLECTIVE, PLLC

Practice address

4410 Claiborne SQ E Ste 334
Hampton, VA 23666-2074

Phone

(757) 895-7953

Fax

(757) 209-4910

NPI assigned

Jan 23, 2024

Last updated

Jul 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elissa Lea Jarvis, PSYDNPI 1780158931

Title

Licensed Clinical Psychologist

Phone

(757) 895-7953

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elissa Lea Jarvis, PSYD, LCP

  • Clinical Psychologist
  • Chesapeake, VA
  • NPI 1780158931
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1285496539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQ E STE 334",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662074",
            "telephone_number": "757-895-7953",
            "fax_number": "757-209-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQ E STE 334",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662074",
            "telephone_number": "757-895-7953",
            "fax_number": "757-209-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY COUNSELING COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "757-895-7953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Hampton, VA
• Providers in Hampton, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.