Organization Active NPI

Gift of Therapy and Consulting, LLC

  • Community/Behavioral Health Agency
  • Virginia Beach, VA
National Provider Identifier
1407365943
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0701005610 Issued in VA
Legal business name
GIFT OF THERAPY AND CONSULTING, LLC
Practice address
317 Office Square LN Ste B102
Virginia Beach, VA 23462-3650
Phone
(757) 419-1871
Fax
(757) 419-1871
NPI assigned
Sep 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Authorized official

Name
Dorothy Moore, LPC, ACSNPI 1700213766
Title
Owner
Phone
(757) 419-1871

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
Community/Behavioral Health Agency 251S00000X 0701005610 VA Primary

Addresses

Primary practice location

317 Office Square LN Ste B102
Virginia Beach, VA 23462-3650

Mailing address

4240 Portsmouth Blvd Ste 425
Chesapeake, VA 23321-2129
Phone (757) 419-1871

Other identifiers 1

IdentifierTypeStateIssuer
1700213766MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240515001075 VA Part B Supplier - Clinic/Group Practice 2264873736 Receives reassigned benefits from 1 practitioner
Practice locations: Portsmouth, VA

National Provider Directory

National Provider Directory

Locations

4240 Portsmouth Blvd
Ste 425
Chesapeake, VA 23321

3300 Tyre Neck Rd
Ste A
Portsmouth, VA 23703
Phone (757) 335-4044

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1407365943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 PORTSMOUTH BLVD STE 425",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212129",
            "telephone_number": "757-419-1871",
            "fax_number": "757-419-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE B102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623650",
            "telephone_number": "757-419-1871",
            "fax_number": "757-419-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFT OF THERAPY AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-419-1871",
        "authorized_official_credential": "LPC, ACS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701005610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700213766",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.