Organization Active NPI

Aspiring Minds Wellness Center, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1477309086
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ASPIRING MINDS WELLNESS CENTER, LLC
Practice address
3897 Bridge Rd Ste 104
Suffolk, VA 23435-1911
Phone
(757) 654-4342
Fax
(757) 209-5477
NPI assigned
Apr 24, 2024
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Ms. Kenatta Amoure Bethea, PMHNP-BCNPI 1376133496
Title
Ceo
Phone
(757) 654-4342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

3897 Bridge Rd Ste 104
Suffolk, VA 23435-1911

Mailing address

3897 Bridge Rd Ste 104
Suffolk, VA 23435-1911
Phone (757) 654-4342

Other practice location 1

500 E Main St Ste 1600-150
Norfolk, VA 23510-2205
Phone (757) 839-8500

National Provider Directory

National Provider Directory

Locations

500 E Main St
Ste 1600150
Norfolk, VA 23510
Phone (757) 839-8500

3897 Bridge Rd
Ste 104
Suffolk, VA 23435
Phone (757) 654-4342

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1477309086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3897 BRIDGE RD STE 104",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351911",
            "telephone_number": "757-654-4342",
            "fax_number": "757-209-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3897 BRIDGE RD STE 104",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351911",
            "telephone_number": "757-654-4342",
            "fax_number": "757-209-5477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Main St Ste 1600-150",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235102205",
            "country_code": "US",
            "telephone_number": "757-839-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASPIRING MINDS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "KENATTA",
        "authorized_official_middle_name": "AMOURE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-654-4342",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.