Organization Active NPI

Jban, LLC

Doing business as Embrace Counseling and Consultation Services

  • Mental Health Counselor
  • Norfolk, VA
National Provider Identifier
1639938178
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JBAN, LLC
Doing business as
Embrace Counseling and Consultation Services
Practice address
201 College PL
Norfolk, VA 23510-0914
Phone
(757) 447-4480
NPI assigned
Mar 18, 2024
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Marybeth R Gingrich, LCSWNPI 1245995299
Title
Founder
Phone
(757) 447-4480

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

201 College PL
Norfolk, VA 23510-0914

Mailing address

201 W Tazewell St Apt 307
Norfolk, VA 23510-1319
Phone (757) 447-4480

Other names 1

  • Embrace Counseling and Consultation Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1639938178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W TAZEWELL ST APT 307",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101319",
            "telephone_number": "757-447-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COLLEGE PL",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235100914",
            "telephone_number": "757-447-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "GINGRICH",
        "authorized_official_first_name": "MARYBETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "757-447-4480",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embrace Counseling and Consultation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 18, 2024; 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.