Active NPI
Faithful Foundations Therapy LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wise, VA
National Provider Identifier
1316838295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- FAITHFUL FOUNDATIONS THERAPY LLC
- Practice address
- 203 Glade St SE
Wise, VA 24293-5711 - Phone
- (276) 708-7386
- Fax
- (877) 497-4833
- NPI assigned
- Jul 10, 2025
- Last updated
- Jun 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Trout, MSPC LPC NCC
- Title
- Clinical Supervisor
- Phone
- (724) 420-2794
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 Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
203 Glade St SE
Wise, VA 24293-5711
Mailing address
203 Glade St SE
Wise, VA 24293-5711
Phone (276) 708-7386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001841158 | Medicaid | VA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Professional Counselor
- Acme, PA
- NPI 1669063640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781222400000",
"number": "1316838295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 GLADE ST SE",
"city": "WISE",
"state": "VA",
"postal_code": "242935711",
"telephone_number": "276-708-7386",
"fax_number": "877-497-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 GLADE ST SE",
"city": "WISE",
"state": "VA",
"postal_code": "242935711",
"telephone_number": "276-708-7386",
"fax_number": "877-497-4833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITHFUL FOUNDATIONS THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-10",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A",
"authorized_official_last_name": "TROUT",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "CLINICAL SUPERVISOR",
"authorized_official_telephone_number": "724-420-2794",
"authorized_official_credential": "MSPC LPC NCC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3001841158",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wise, VA
- Diagnostic Sleep Disorder
- Phyllis Houston Dishner, COTA/L
- Chelsey Brooke Earl, FNP-C
- Shannon Escoffery, LPC
- Everglow Counseling Collective, LLC
- Family Preservation Services, Inc
- Destinee Eve Hunnicutt Fannon, PHARMD
- Friendship Ambulance Service Inc
- Friendship Home Health Inc (Friendship Home Medical Equipment Inc)
- Casey Gerber, MS, LAT, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.