Peninsula Outreach Family Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PENINSULA OUTREACH FAMILY COUNSELING LLC

Practice address

1915 Seward Dr
Hampton, VA 23663-1122

Phone

(804) 835-1799

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Sheqwana Geneva Rogers, LPCNPI 1467034504

Title

Ceo/Owner

Phone

(804) 835-1799

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sheqwana Geneva Rogers

  • Mental Health Counselor
  • Hampton, VA
  • NPI 1467034504
  NPD Authorized official

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651276800000",
    "number": "1568031706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 SEWARD DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236631122",
            "telephone_number": "804-835-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 SEWARD DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236631122",
            "telephone_number": "804-835-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA OUTREACH FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "SHEQWANA",
        "authorized_official_middle_name": "GENEVA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "804-835-1799",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Hampton, VA
• Providers in Hampton, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; 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.