Active NPI
Invigorating Mind & Body Healthcare PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport News, VA
National Provider Identifier
1467044560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- INVIGORATING MIND & BODY HEALTHCARE PLLC
- Practice address
- 610 Thimble Shoals Blvd Ste 203a
Newport News, VA 23606-4512 - Phone
- (757) 775-8837
- Fax
- (949) 561-4700
- NPI assigned
- Feb 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lakeysha Renee Jenkins, AGPCNP-BC, PMHNP-BC
- Title
- NP/Owner
- Phone
- (757) 775-8837
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
610 Thimble Shoals Blvd Ste 203a
Newport News, VA 23606-4512
Mailing address
610 Thimble Shoals Blvd Ste 203a
Newport News, VA 23606-4512
Phone (757) 775-8837
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616198400000",
"number": "1467044560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 THIMBLE SHOALS BLVD STE 203A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064512",
"telephone_number": "757-775-8837",
"fax_number": "949-561-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 THIMBLE SHOALS BLVD STE 203A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064512",
"telephone_number": "757-775-8837",
"fax_number": "949-561-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INVIGORATING MIND & BODY HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-09",
"last_updated": "2021-03-20",
"certification_date": "2021-03-20",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "LAKEYSHA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "NP/OWNER",
"authorized_official_telephone_number": "757-775-8837",
"authorized_official_credential": "AGPCNP-BC, PMHNP-BC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
- Institute for Family Centered Services
- Intensive in-Home Counseling and Mentoring Division, LP. (Intensive In-home Counseling Division)
- Intersections in Advocacy Consultative Services
- Intrepid of Virginia, Inc. (Intrepid USA Hospice)
- Invictus Health LLC
- Ion Healthcare
- Ion Healthcare Corporation
- Bogdan None Ionescu II, M.D.
- Steven Mark Irby, MD
- William Paul Irvin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.