NPIMap

Organization Active NPI

Complete Therapeutic Solutions, LLC

  • Marriage & Family Therapist
  • Williamsburg, VA
National Provider Identifier
1326672502
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COMPLETE THERAPEUTIC SOLUTIONS, LLC
Practice address
4451 Longhill Rd
Williamsburg, VA 23188-1534
Phone
(540) 207-1108
NPI assigned
Feb 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Dr. Jordan Luck, LMFTNPI 1245601863
Title
Owner
Phone
(757) 755-4149

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4451 Longhill Rd
Williamsburg, VA 23188-1534

Mailing address

4451 Longhill Rd
Williamsburg, VA 23188-1534
Phone (757) 755-4149

National Provider Directory

National Provider Directory

Locations

4451 Longhill Rd
Williamsburg, VA 23188
Phone (757) 755-4149

223 Water Country Pkwy
Ste 100
Williamsburg, VA 23185
Phone (757) 755-4149

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1326672502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 LONGHILL RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881534",
            "telephone_number": "757-755-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 LONGHILL RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881534",
            "telephone_number": "540-207-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE THERAPEUTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "LUCK",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-755-4149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.