Organization Active NPI

Passion of Resilience Counseling Center, LLC

  • Clinical Psychologist
  • Newport News, VA
National Provider Identifier
1558759274
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
810004243 Issued in VA
Legal business name
PASSION OF RESILIENCE COUNSELING CENTER, LLC
Practice address
11835 Canon Blvd Ste B102
Newport News, VA 23606-2570
Phone
(757) 593-5085
Fax
(757) 484-3123
NPI assigned
Jan 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Dr. Kristin Neely Barbee, PSY.D/LCPNPI 1225354814
Title
Clinical Psychologist
Phone
(757) 593-5085

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
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 810004243 VA Primary

Addresses

Primary practice location

11835 Canon Blvd Ste B102
Newport News, VA 23606-2570

Mailing address

517 Peafowl CT
Suffolk, VA 23435-3332
Phone (757) 593-5085

National Provider Directory

National Provider Directory

Locations

4012 Raintree Rd
Ste 120A
Chesapeake, VA 23321
Phone (757) 574-0900

11835 Canon Blvd
Ste B102
Newport News, VA 23606
Phone (757) 593-5085

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1558759274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 PEAFOWL CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353332",
            "telephone_number": "757-593-5085",
            "fax_number": "757-484-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 CANON BLVD STE B102",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062570",
            "telephone_number": "757-593-5085",
            "fax_number": "757-484-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSION OF RESILIENCE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "BARBEE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "NEELY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "757-593-5085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D/LCP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "810004243",
            "primary": true
        }
    ],
    "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 Jan 6, 2015; 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.