NPIMap

Organization Active NPI

The Healing Fountain, LLC

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1609807304
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE HEALING FOUNTAIN, LLC
Practice address
291 Independence Blvd Ste 240
Virginia Beach, VA 23462-5475
Phone
(757) 486-1807
Fax
(757) 486-0901
NPI assigned
Jul 5, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Pamela HopkinsNPI 1568491777
Title
Owner
Phone
(757) 486-1807

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

Practitioners 7

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070925000197 VA Part B Supplier - Clinic/Group Practice 6608960406 Receives reassigned benefits from 5 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

762 Independence Blvd
Ste 100C
Virginia Beach, VA 23455
Phone (757) 268-6211

291 Independence Blvd
Ste 240
Virginia Beach, VA 23462
Phone (757) 486-1807

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

NPPES NPI Registry

Primary practice location

291 Independence Blvd Ste 240
Virginia Beach, VA 23462-5475

Mailing address

291 Independence Blvd Ste 240
Virginia Beach, VA 23462-5475
Phone (757) 486-1807

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2025.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1609807304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD STE 240",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625475",
            "telephone_number": "757-486-1807",
            "fax_number": "757-486-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD STE 240",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625475",
            "telephone_number": "757-486-1807",
            "fax_number": "757-486-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING FOUNTAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-486-1807"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.