Two Rivers Wellness Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TWO RIVERS WELLNESS CENTER LLC

Practice address

1158 Professional Dr Ste K
Williamsburg, VA 23185-6618

Phone

(703) 498-8675

NPI assigned

Jan 22, 2020

Organization subpart

No

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

Authorized official

Name

Romina Abawi-Wooten, LPC, CSAC, NCCNPI 1508346669

Title

Therapist

Phone

(703) 498-8675

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 4

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

• Romina Abawi-Wooten, MA, CSAC, NCC

  • Mental Health Counselor
  • Williamsburg, VA
  • NPI 1508346669
  Medicare reassignment NPD Authorized official
• Jack Jaffe, PSYD

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1144334269

  VA

  Medicare reassignment NPD
• Gabrielle Drong

  • Clinical Psychologist
  • Williamsburg, VA
  • NPI 1679450464
  NPD
• Shane Andrew Sheffield, MS.ED.

  • Mental Health Counselor
  • Williamsburg, VA
  • NPI 1205616604
  NPD

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1356971022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 PROFESSIONAL DR STE K",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856618",
            "telephone_number": "703-498-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 PROFESSIONAL DR STE K",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856618",
            "telephone_number": "703-498-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "ABAWI-WOOTEN",
        "authorized_official_first_name": "ROMINA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "703-498-8675",
        "authorized_official_credential": "LPC, CSAC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Tubbs, CPHT
• Laura L Tuck, LCSW
• Bethany Tucker, AU.D.
• Kendall Turner, MS, MBA, ACSM-CEP
• Two Rivers Family and Cosmetic Dentistry
• Kathleen M Tylman, D.O.
• Elizabeth Ann Tyson
• UC Davis Medical Center
• Johnnie Underwood, BCBA
• Unique Paths ABA, LLC

• Mental Health Counselor in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.