Complete Whole & Compassionate Care CWC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COMPLETE WHOLE & COMPASSIONATE CARE CWC

Practice address

1700 Huguenot Rd Ste 2B
Midlothian, VA 23113-2397

Phone

(804) 641-7816

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Marshall Romona Wigfall, DNPNPI 1629306139

Title

Psychiatric Nurse Practitioner

Phone

(804) 594-6837

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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

• Marshall Romona Wigfall, DNP, FNP, PMH-NP/CNS

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
  • NPI 1629306139
  Medicare reassignment NPD Authorized official
• Rebecca Beth Koenig, LCSW

  • Clinical Social Worker
  • Midlothian, VA
  • NPI 1922447903
  NPD (past)

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1356967103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HUGUENOT RD STE E",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132397",
            "telephone_number": "804-594-6837",
            "fax_number": "804-621-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HUGUENOT RD STE 2B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132397",
            "telephone_number": "804-641-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE WHOLE & COMPASSIONATE CARE CWC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "WIGFALL",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "ROMONA",
        "authorized_official_title_or_position": "PSYCHIATRIC  NURSE PRACTITIONER",
        "authorized_official_telephone_number": "804-594-6837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629306139",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rachael Block Condrey, DPT
• Megan Cone
• Marla Conlin
• Erin Conner, OT, CHT
• Kishla Conner

• Mental Health Clinic/Center (Including Community Mental Health Center) in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.