NPIMap

Organization Active NPI

PBP Psychotherapy LTD

  • Marriage & Family Therapist
  • Norfolk, VA
National Provider Identifier
1346677820
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001120 Issued in VA
Legal business name
PBP PSYCHOTHERAPY LTD
Practice address
110 Maycox Ave
Suite 3
Norfolk, VA 23505-3433
Phone
(757) 769-7040
Fax
(757) 769-7050
NPI assigned
Sep 30, 2013
Last updated
Sep 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Holly Tracy, MANPI 1356437750
Title
President
Phone
(757) 769-7040

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004033 VA
Marriage & Family Therapist 106H00000X 0717001120 VA Primary

Addresses

Primary practice location

110 Maycox Ave
Suite 3
Norfolk, VA 23505-3433

Mailing address

110 Maycox Ave
Suite 3
Norfolk, VA 23505-3433
Phone (757) 769-7040

Other identifiers 1

IdentifierTypeStateIssuer
010337411MedicaidVA

Other names 1

  • Peace By Piece Psychotherapy Ltd Other name

National Provider Directory

National Provider Directory

Locations

110 Maycox Ave
Ste 3
Norfolk, VA 23505
Phone (757) 769-7040

Practitioners & affiliated clinicians

Practitioners 6

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": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1346677820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAYCOX AVE",
            "address_2": "SUITE 3",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053433",
            "telephone_number": "757-769-7040",
            "fax_number": "757-769-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAYCOX AVE",
            "address_2": "SUITE 3",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053433",
            "telephone_number": "757-769-7040",
            "fax_number": "757-769-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBP PSYCHOTHERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-769-7040",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004033",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010337411",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace By Piece Psychotherapy Ltd",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.