Organization Active NPI

Your Business CCC

Doing business as Caring Hearts & Hands Primary Practice

  • Primary Care Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1639987530
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
YOUR BUSINESS CCC
Doing business as
Caring Hearts & Hands Primary Practice
Release it Counseling
Practice address
424 Market St Ste 100
Suffolk, VA 23434-5249
Phone
(757) 347-0703
Fax
(757) 276-6514
NPI assigned
Dec 23, 2024
Organization subpart
Yes
Parent organization
YOUR BUSINESS CCCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Whitney SmithNPI 1760930168
Title
Ceo
Phone
(757) 347-0703

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

424 Market St Ste 100
Suffolk, VA 23434-5249

Mailing address

424 Market St Ste 100
Suffolk, VA 23434-5249
Phone (757) 347-0703

Other identifiers 1

IdentifierTypeStateIssuer
1922695592MedicaidVA

Other names 2

  • Caring Hearts & Hands Primary Practice Doing business as
  • Release it Counseling Doing business as

National Provider Directory

National Provider Directory
Part of
Your Business CCC

Locations

424 Market St
Ste 100
Suffolk, VA 23434
Phone (252) 287-5870

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1639987530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MARKET ST STE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345249",
            "telephone_number": "757-347-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MARKET ST STE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345249",
            "telephone_number": "757-347-0703",
            "fax_number": "757-276-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR BUSINESS CCC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUR BUSINESS CCC",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-347-0703"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922695592",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Hearts & Hands Primary Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Release it Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.