Organization Active NPI

Life Compass Therapy, LLC

  • Marriage & Family Therapist
  • Virginia BCH, VA
National Provider Identifier
1386282416
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LIFE COMPASS THERAPY, LLC
Practice address
5226 Indian River Rd Ste 100
Virginia BCH, VA 23464-6179
Phone
(757) 943-9555
Fax
(757) 664-9494
NPI assigned
Dec 19, 2019
Last updated
Aug 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Tamara Allen, MA, LMFT,NPI 1316583651
Title
Owner
Phone
(757) 943-9555

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

5226 Indian River Rd Ste 100
Virginia BCH, VA 23464-6179

Mailing address

5226 Indian River Rd Ste 100
Virginia BCH, VA 23464-6179
Phone (757) 943-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627001868 VA Part B Supplier - Clinic/Group Practice 7214440866 Receives reassigned benefits from 3 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

516 Innovation Dr
Ste 205
Chesapeake, VA 23320
Phone (757) 943-9555

5226 Indian River Rd
Ste 100
Virginia Beach, VA 23464
Phone (757) 943-9555

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": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1386282416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 INDIAN RIVER RD STE 100",
            "city": "VIRGINIA BCH",
            "state": "VA",
            "postal_code": "234646179",
            "telephone_number": "757-943-9555",
            "fax_number": "757-664-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5226 INDIAN RIVER RD STE 100",
            "city": "VIRGINIA BCH",
            "state": "VA",
            "postal_code": "234646179",
            "telephone_number": "757-943-9555",
            "fax_number": "757-664-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COMPASS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-943-9555",
        "authorized_official_credential": "MA, LMFT,"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia BCH, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.