Peninsula Counseling Center of Virginia, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701003308 Issued in VA

Legal business name

PENINSULA COUNSELING CENTER OF VIRGINIA, LLC

Practice address

751 Thimble Shoals Blvd
D-3
Newport News, VA 23606-3563

Phone

(757) 810-5380

NPI assigned

Jun 16, 2012

Organization subpart

No

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

Authorized official

Name

Donna Kay Griset, LPC

Title

Managing Member

Phone

(757) 810-5380

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339804800000",
    "number": "1396008264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 THIMBLE SHOALS BLVD",
            "address_2": "D-3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063563",
            "telephone_number": "757-810-5380",
            "fax_number": "757-886-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 THIMBLE SHOALS BLVD",
            "address_2": "D-3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063563",
            "telephone_number": "757-810-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA COUNSELING CENTER OF VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-16",
        "last_updated": "2012-06-16",
        "status": "A",
        "authorized_official_last_name": "GRISET",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "757-810-5380",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Newport News, VA
• Providers in Newport News, 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 Jun 16, 2012; 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.