Self Actualization Counseling Services, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

0904008490 Issued in VA

Legal business name

SELF ACTUALIZATION COUNSELING SERVICES, LLC

Practice address

3500 Virginia Beach Blvd
Suite 210
Virginia Beach, VA 23452-4445

Phone

(757) 233-1900

NPI assigned

Jan 15, 2014

Last updated

Jan 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Roneiko Henderson-Beasley, LCSWNPI 1861684011

Title

Owner/Director

Phone

(757) 287-4990

Specialties & licenses 1

Addresses

Tax ID family

Self Actualization Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Self Actualization Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Virginia Beach, VA
  • NPI 1386081602
  NPD tax ID

Locations

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.

• Roneiko Henderson Beasley, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1861684011
  NPD (past) Authorized official

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1588086177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 VIRGINIA BEACH BLVD",
            "address_2": "SUITE 210",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524445",
            "telephone_number": "757-233-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 VIRGINIA BEACH BLVD",
            "address_2": "SUITE 210",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524445",
            "telephone_number": "757-233-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF ACTUALIZATION COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "HENDERSON-BEASLEY",
        "authorized_official_first_name": "RONEIKO",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "757-287-4990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "0904008490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Seipp
• Carolyn Selbicky, RN, BSN, CCRN
• Select Physical Therapy Holdings Inc
• Select Physical Therapy Holdings Inc
• Self Actualization Counseling Services, LLC
• Selfhealth LLC
• Stefanie Elizabeth Sell, DPT
• Sellati & Co., Inc. (Virginia Beach Comprehensive Treatment Center)
• Sellati & Co., Inc. (Virginia Beach Comprehensive Treatment Center)
• Janine A Sellers, CCC-SLP

• Health Maintenance Organization in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Health Maintenance Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.