Active NPI
Bebold Recovery LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Norfolk, VA
National Provider Identifier
1356193296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- BEBOLD RECOVERY LLC
- Practice address
- 957 W 21St St
Norfolk, VA 23517-1536 - Phone
- (757) 586-4392
- NPI assigned
- Apr 3, 2024
- 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
- Mark Fishman
- Title
- Owner
- Phone
- (757) 586-4392
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
957 W 21St St
Norfolk, VA 23517-1536
Mailing address
957 W 21St St
Norfolk, VA 23517-1536
Phone (757) 586-4392
Other practice location 1
5423 Henneman Dr
Norfolk, VA 23513-2439
Phone (757) 586-4392
National Provider Directory
National Provider Directory- Tax ID family
- Bebold Recovery LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- South Hill, VA
- NPI 1609708072
Locations
5423 Henneman Dr
Norfolk, VA 23513
Phone (757) 586-4392
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Youngstown, OH
- NPI 1467856252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771891200000",
"number": "1356193296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 W 21ST ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235171536",
"telephone_number": "757-586-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 W 21ST ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235171536",
"telephone_number": "757-586-4392"
}
],
"practiceLocations": [
{
"address_1": "5423 Henneman Dr",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235132439",
"country_code": "US",
"telephone_number": "757-586-4392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BEBOLD RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-03",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A",
"authorized_official_last_name": "FISHMAN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-586-4392"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.