Intrepid Change, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INTREPID CHANGE, LLC

Practice address

510 S Independence Blvd Ste 200
Virginia Beach, VA 23452-1155

Phone

(757) 354-2337

NPI assigned

Jan 15, 2025

Last updated

Jan 15, 2025By 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

Mr. Anthony Vecchio, LPCNPI 1992463780

Title

Owner/Founder

Phone

(757) 354-2337

Specialties & licenses 1

Addresses

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.

• Anthony Robert Vecchio

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1992463780
  NPD Authorized official

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1306657705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S INDEPENDENCE BLVD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521155",
            "telephone_number": "757-354-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S INDEPENDENCE BLVD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521155",
            "telephone_number": "757-354-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTREPID CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "VECCHIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "757-354-2337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Virginia Beach, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.