Active NPI
Focused Growth Psychotherapy
- Mental Health Counselor
- Virginia Beach, VA
National Provider Identifier
1306509252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FOCUSED GROWTH PSYCHOTHERAPY
- Practice address
- 2509 Butler Lane
#133
Virginia Beach, VA 23456-4419 - Phone
- (757) 702-0119
- Fax
- (757) 702-0119
- NPI assigned
- Oct 18, 2021
- Organization subpart
- Yes
- Parent organization
- FOCUSED GROWTH PSYCHOTHERAPY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Wickham, LCSW
- Title
- LCSW, MBR
- Phone
- (757) 702-0119
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2509 Butler Lane
#133
Virginia Beach, VA 23456-4419
Mailing address
3419 Virginia Beach Blvd
#133
Virginia Beach, VA 23452-4419
Phone (757) 702-0119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Focused Growth Psychotherapy
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Virginia Beach, VA
- NPI 1194800771
-
- Mental Health Counselor
- Virginia Beach, VA
- NPI 1578648168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634515200000",
"number": "1306509252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 VIRGINIA BEACH BLVD",
"address_2": "#133",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234524419",
"telephone_number": "757-702-0119",
"fax_number": "757-702-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 BUTLER LANE",
"address_2": "#133",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234564419",
"telephone_number": "757-702-0119",
"fax_number": "757-702-0119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOCUSED GROWTH PSYCHOTHERAPY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FOCUSED GROWTH PSYCHOTHERAPY",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A",
"authorized_official_last_name": "WICKHAM",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "LCSW, MBR",
"authorized_official_telephone_number": "757-702-0119",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.