Self Actualization Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SELF ACTUALIZATION COUNSELING SERVICES, LLC

Practice address

900 Commonwealth PL
Suite 200-343
Virginia Beach, VA 23464-4517

Phone

(757) 287-4990

NPI assigned

May 28, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Roneiko Henderson-Beasley, CSTOP, CSAC, ADC

Title

Owner

Phone

(757) 287-4990

Specialties & licenses 2

Addresses

Tax ID family

Self Actualization Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Self Actualization Counseling Services, LLC

  • Health Maintenance Organization
  • Virginia Beach, VA
  • NPI 1588086177
  NPD tax ID

Locations

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1386081602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56555",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234569555",
            "telephone_number": "757-287-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COMMONWEALTH PL",
            "address_2": "SUITE 200-343",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644517",
            "telephone_number": "757-287-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF ACTUALIZATION COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "HENDERSON-BEASLEY",
        "authorized_official_first_name": "RONEIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-287-4990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSTOP, CSAC, ADC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammis N Seipel, MD
• Julie Seipp
• Carolyn Selbicky, RN, BSN, CCRN
• Select Physical Therapy Holdings Inc
• Select Physical Therapy Holdings Inc
• Self Actualization Counseling Services, LLC
• Selfhealth LLC
• Stefanie Elizabeth Sell, DPT
• Sellati & Co., Inc.
• Sellati & Co., Inc.

• All providers in Virginia Beach, VA
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.