Organization Active NPI

Invigorating Mind & Body Healthcare PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport News, VA
National Provider Identifier
1467044560
Registry record updated Mar 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Mar 20, 2021

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.