Active NPI
Pinktree Counseling and Wellness
- Clinical Social Worker
- Hampton, VA
National Provider Identifier
1336790138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PINKTREE COUNSELING AND WELLNESS
- Practice address
- 4410 Claiborne SQ E Ste 334
Hampton, VA 23666-2074 - Phone
- (757) 251-3775
- NPI assigned
- Sep 23, 2019
- 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
- Mrs. Philana T Jones, LCSW
- Title
- Owner/Provider
- Phone
- (757) 902-3337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4410 Claiborne SQ E Ste 334
Hampton, VA 23666-2074
Mailing address
553 Settlers Landing Rd Apt 110
Hampton, VA 23669-4272
Phone (757) 902-3337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0904010915 | Other | VA | SOCIAL WORK LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569196800000",
"number": "1336790138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "553 SETTLERS LANDING RD APT 110",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236694272",
"telephone_number": "757-902-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 CLAIBORNE SQ E STE 334",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236662074",
"telephone_number": "757-251-3775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINKTREE COUNSELING AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-23",
"last_updated": "2019-09-23",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "PHILANA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "757-902-3337",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "0904010915",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.