NPIMap

Organization Active NPI

Fountain of Hope Counseling Center LLC

  • Marriage & Family Therapist
  • Hampton, VA
National Provider Identifier
1306384144
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001381 Issued in VA
Legal business name
FOUNTAIN OF HOPE COUNSELING CENTER LLC
Practice address
100 Bridge St
Suite C2
Hampton, VA 23669-4067
Phone
(404) 423-3600
NPI assigned
Jan 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Mrs. Tracy Barbee, LMFTNPI 1174985428
Title
Owner
Phone
(404) 423-3600

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 0717001381 VA Primary

Addresses

Primary practice location

100 Bridge St
Suite C2
Hampton, VA 23669-4067

Mailing address

4108 Old Virginia Rd
Chesapeake
Chesapeake, VA 23323-1624
Phone (404) 423-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250326000753 VA Part B Supplier - Clinic/Group Practice 7416470976 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

2616 Taylor Rd
Ste B
Chesapeake, VA 23321

100 Bridge St
Ste C2
Hampton, VA 23669
Phone (404) 423-3600

Practitioners & affiliated clinicians

Practitioners 5

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": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1306384144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 OLD VIRGINIA RD",
            "address_2": "CHESAPEAKE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231624",
            "telephone_number": "404-423-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRIDGE ST",
            "address_2": "SUITE C2",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694067",
            "telephone_number": "404-423-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF HOPE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "BARBEE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-423-3600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.