Active NPI
Trauma Treatment and Restorative Reentry Programs Inc.
- Mental Health Counselor
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- TRAUMA TREATMENT AND RESTORATIVE REENTRY PROGRAMS INC.
- Practice address
- 700 Lombardy Ave Apt 7413
Newport News, VA 23606-3368 - Phone
- (718) 570-3446
- NPI assigned
- May 15, 2021
- Last updated
- May 15, 2021
- 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
- Shane Janelle Gill, PHD, LPC
- Title
- Ceo
- Phone
- (718) 570-3446
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
700 Lombardy Ave Apt 7413
Newport News, VA 23606-3368
Mailing address
8341 Grady St
Douglasville, GA 30134-6910
Phone (678) 653-7512
Other practice location 1
8341 Grady St Ste 6
Douglasville, GA 30134-6910
Phone (718) 570-3446
National Provider Directory
National Provider DirectoryLocations
8341 Grady St
Ste 6
Douglasville, GA 30134
Phone (718) 570-3446
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.
-
- Counselor
- Atlanta, GA
- NPI 1487309829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621036800000",
"number": "1326612250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8341 GRADY ST",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301346910",
"telephone_number": "678-653-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 LOMBARDY AVE APT 7413",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236063368",
"telephone_number": "718-570-3446"
}
],
"practiceLocations": [
{
"address_1": "8341 Grady St Ste 6",
"address_purpose": "LOCATION",
"city": "Douglasville",
"state": "GA",
"postal_code": "301346910",
"country_code": "US",
"telephone_number": "718-570-3446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRAUMA TREATMENT AND RESTORATIVE REENTRY PROGRAMS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-15",
"last_updated": "2021-05-15",
"certification_date": "2021-05-15",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "SHANE",
"authorized_official_middle_name": "JANELLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-570-3446",
"authorized_official_credential": "PHD, LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.