NPIMap

Organization Active NPI

Liberating Lives: Christian Counseling & Psychol

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1629370515
Registry record updated Nov 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
071003632 Issued in VA
Legal business name
LIBERATING LIVES: CHRISTIAN COUNSELING & PSYCHOL
Practice address
420 N Center Dr
BLDG 11, Suite 113
Norfolk, VA 23502-4007
Phone
(757) 449-3671
NPI assigned
Nov 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2010

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

Authorized official

Name
Mr. Kevin J. Coward, M.A.NPI 1639258585
Title
Licensed Professional Counselor
Phone
(757) 449-3671

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 071003632 VA Primary

Addresses

Primary practice location

420 N Center Dr
BLDG 11, Suite 113
Norfolk, VA 23502-4007

Mailing address

420 N Center Dr
BLDG 11, Suite 113
Norfolk, VA 23502-4007
Phone (757) 449-3671

National Provider Directory

National Provider Directory

Locations

6325 N Center Dr
Bldg 18
Norfolk, VA 23502

420 N Center Dr
Ste 113
Norfolk, VA 23502
Phone (757) 449-3671

420 N Center Dr
Ste 200
Norfolk, VA 23502
Phone (757) 961-3255

Practitioners & affiliated clinicians

Practitioners 7

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": "1290729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290729600000",
    "number": "1629370515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N CENTER DR",
            "address_2": "BLDG 11, SUITE 113",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024007",
            "telephone_number": "757-449-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N CENTER DR",
            "address_2": "BLDG 11, SUITE 113",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024007",
            "telephone_number": "757-449-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERATING LIVES: CHRISTIAN COUNSELING & PSYCHOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-26",
        "last_updated": "2010-11-26",
        "status": "A",
        "authorized_official_last_name": "COWARD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "757-449-3671",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "071003632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2010; 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.