Individual provider Active NPI

Pennie Jo Hurta, LPC

  • Professional Counselor
  • Newport News, VA
National Provider Identifier
1548858921
Registry record updated Jan 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010187 Issued in VA
Practice address
739 Thimble Shoals Blvd Ste 706
Newport News, VA 23606-3585
Phone
(757) 838-8520
Fax
(757) 595-0157
NPI assigned
Jan 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701010187 VA Primary

Addresses

Primary practice location

739 Thimble Shoals Blvd Ste 706
Newport News, VA 23606-3585

Mailing address

739 Thimble Shoals Blvd Ste 706
Newport News, VA 23606-3585
Phone (757) 838-8520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925001436 VA Practitioner - Mental Health Counselor 3375084718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1030 Loftis Blvd
Suite 102
Newport News, VA 23606-2999
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701010187VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Aug 15, 2024 Accepting new patients

Locations

1030 Loftis Blvd
Ste 102
Newport News, VA 23606
Phone (978) 998-5022

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1548858921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 THIMBLE SHOALS BLVD STE 706",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063585",
            "telephone_number": "757-838-8520",
            "fax_number": "757-595-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 THIMBLE SHOALS BLVD STE 706",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063585",
            "telephone_number": "757-838-8520",
            "fax_number": "757-595-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTA",
        "first_name": "PENNIE",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.