Organization Active NPI

Faithful Foundations Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wise, VA
National Provider Identifier
1316838295
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Rebecca Trout, MSPC LPC NCCNPI 1669063640
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3001841158MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.