NPIMap

Organization Active NPI

First Colonial Psychotherapy Services

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1336294479
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FIRST COLONIAL PSYCHOTHERAPY SERVICES
Practice address
921 First Colonial Rd
Suite 1711
Virginia Beach, VA 23454-3167
Phone
(757) 428-7500
Fax
(757) 428-7699
NPI assigned
Jan 25, 2007
Last updated
Jul 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Mrs. Brittany C Morgan
Title
Office Adm
Phone
(757) 428-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

921 First Colonial Rd
Suite 1711
Virginia Beach, VA 23454-3167

Mailing address

921 First Colonial Rd
Suite 1711
Virginia Beach, VA 23454-3167
Phone (757) 428-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000788 VA Part B Supplier - Clinic/Group Practice 2264334069 Receives reassigned benefits from 15 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

1232 Perimeter Pkwy
Ste 206
Virginia Beach, VA 23454
Phone (757) 428-7500

921 First Colonial Rd
Ste 1711
Virginia Beach, VA 23454
Phone (757) 428-7500

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1336294479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 FIRST COLONIAL RD",
            "address_2": "SUITE 1711",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543167",
            "telephone_number": "757-428-7500",
            "fax_number": "757-428-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 FIRST COLONIAL RD",
            "address_2": "SUITE 1711",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543167",
            "telephone_number": "757-428-7500",
            "fax_number": "757-428-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COLONIAL PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE ADM",
        "authorized_official_telephone_number": "757-428-7500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.