Organization Active NPI

Pembroke Counseling Services

  • Adult Mental Health Clinic/Center
  • Virginia Beach, VA
National Provider Identifier
1457047516
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PEMBROKE COUNSELING SERVICES
Practice address
291 Independence Blvd Ste 517
Virginia Beach, VA 23462-5473
Phone
(757) 405-7560
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Judith Francis
Title
Owner
Phone
(401) 338-7694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

291 Independence Blvd Ste 517
Virginia Beach, VA 23462-5473

Mailing address

1708 Caversham Mews
Virginia Beach, VA 23455-4371
Phone (401) 338-7694

National Provider Directory

National Provider Directory

Locations

291 Independence Blvd
Ste 517
Virginia Beach, VA 23462
Phone (757) 405-7560

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1457047516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 CAVERSHAM MEWS",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554371",
            "telephone_number": "401-338-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD STE 517",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625473",
            "telephone_number": "757-405-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROKE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-338-7694"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 12, 2023; 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.