Organization Active NPI

Behavioral Health Consultants of Hampton Roads LLC

  • Preferred Provider Organization
  • Newport News, VA
National Provider Identifier
1417204512
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
BEHAVIORAL HEALTH CONSULTANTS OF HAMPTON ROADS LLC
Practice address
5109 Goldsboro Dr
3B
Newport News, VA 23605-1301
Phone
(757) 218-5974
NPI assigned
Aug 7, 2012
Last updated
Aug 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Ms. Shawndra Umbrage, LEMHP
Title
Owner/Ceo
Phone
(757) 218-5974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NU Primary

Addresses

Primary practice location

5109 Goldsboro Dr
3B
Newport News, VA 23605-1301

Mailing address

5109 Goldsboro Dr
3B
Newport News, VA 23605-1301
Phone (757) 218-5974

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1417204512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 GOLDSBORO DR",
            "address_2": "3B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051301",
            "telephone_number": "757-218-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 GOLDSBORO DR",
            "address_2": "3B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051301",
            "telephone_number": "757-218-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH CONSULTANTS OF HAMPTON ROADS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "UMBRAGE",
        "authorized_official_first_name": "SHAWNDRA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "757-218-5974",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LEMHP"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

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