Individual provider Active NPI

Therese Nicole Morin

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1316721608
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024187880 Issued in VA
Practice address
1020 First Colonial Rd Ste a
Virginia Beach, VA 23454-3078
Phone
(757) 395-5342
NPI assigned
Aug 21, 2023
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024187880 VA Primary

Addresses

Primary practice location

1020 First Colonial Rd Ste a
Virginia Beach, VA 23454-3078

Mailing address

2216 Rodgers St
Chesapeake, VA 23324-1956

Other practice location 1

2101 Executive Dr Ste 430
Hampton, VA 23666-2404
Phone (757) 966-1270

Other practice location 2

355 Crawford St Ste 102
Portsmouth, VA 23704-2817
Phone (757) 966-1270

Other practice location 3

2244 Executive Dr
Hampton, VA 23666-2430
Phone (757) 827-1001

Other practice location 4

6160 Kempsville Cir Ste 325A
Norfolk, VA 23502-3933
Phone (757) 354-2885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231208000757 VA Practitioner - Nurse Practitioner 1355790908 Reassigns benefits to 4 organizations
I20250516001332 DC Practitioner - Nurse Practitioner 1355790908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians
Mid Atlantic Long Term Specialty Care LLCGroup PAC ID 8921427162, 28 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc Current Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince Nov 1, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 22, 2025 Accepting new patients
Sentara Medical Group CurrentSince Apr 1, 2025 Accepting new patients
Peace of Mind Therapeutic Solutions Psychiatric/Mental Health CurrentSince Jan 10, 2024 Accepting new patients
Isla Psychiatry, PLLC Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Mid Atlantic Long Term Specialty Care LLC Psychiatric/Mental Health CurrentSince Nov 1, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2101 Executive Dr
Ste 430
Hampton, VA 23666
Phone (757) 966-1270

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

355 Crawford St
Ste 102
Portsmouth, VA 23704
Phone (757) 232-3321

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

1020 First Colonial Rd
Ste A
Virginia Beach, VA 23454
Phone (757) 395-5342

Interoperability endpoints

  • Direct secure messaging: therese.mule@4096.securemail.prognocis.com
  • Direct secure messaging: tmorin259700@direct.rivhs.com

Organizations & group practices 7

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1316721608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 RODGERS ST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233241956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 FIRST COLONIAL RD STE A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543078",
            "telephone_number": "757-395-5342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Executive Dr Ste 430",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662404",
            "country_code": "US",
            "telephone_number": "757-966-1270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Crawford St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237042817",
            "country_code": "US",
            "telephone_number": "757-966-1270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2244 Executive Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662430",
            "country_code": "US",
            "telephone_number": "757-827-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6160 Kempsville Cir Ste 325A",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023933",
            "country_code": "US",
            "telephone_number": "757-354-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORIN",
        "first_name": "THERESE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.