East Arena Therapy, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EAST ARENA THERAPY, PLLC

Practice address

283 Constitution Dr Ste 600
Virginia Beach, VA 23462-6760

Phone

(757) 740-0190

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Kelly Woods, MA, LPC, NCCNPI 1740765551

Title

President

Phone

(757) 570-0394

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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

• Kelly Thorne Woods, MA, LPC, NCC

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1740765551
  Medicare reassignment Care Compare group NPD Authorized official
• Lee Summer Phillips, APRN, PMHNP, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Norfolk, VA
  • NPI 1831308964
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1427794429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 GAINSBOROUGH SQ",
            "address_2": "STE G #213",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201757",
            "telephone_number": "757-570-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 CONSTITUTION DR STE 600",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626760",
            "telephone_number": "757-740-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ARENA THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-07",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-570-0394",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Eason, LCSW
• Cayla Danielle Eason
• Chatera Eason, LPN, BT
• Suzanne Payne Eason, OT/L
• Toshiba Eason
• East Coast Centre for Cosmetic Dentistry and Facial Aesthetics
• Martina Lenora Easter
• Wayne M Easter, LCSW, CSAC
• Karin Audra Easterling, CPNP-PC
• Eastern Virginia Hand Center

• Professional Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.