Kevin Lance Cuffee, ED.D

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0704012899 Issued in VA

Practice address

102 Camel Back CT
Suffolk, VA 23434-1519

Phone

(757) 470-9044

NPI assigned

Mar 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Covenant Connections Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norfolk, VA
  • NPI 1386598803
  NPD Authorized official

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1679109490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CAMEL BACK CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234341519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CAMEL BACK CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234341519",
            "telephone_number": "757-470-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUFFEE",
        "first_name": "KEVIN",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-13",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102528",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701013070",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013070",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704012899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "99-0580539",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83-0738194",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crossroads Treatment Center of Suffolk, PC
• Erica Mae Crow
• Kaitlyn Crowder
• Patricia L Crowder, LPC, CSAC
• Kevin Ray Crum
• Danielle Jacquelyn Culbert, MD
• Shay Kenya Cunningham, DPT
• Brittney Warren Curle, DNP, RN, AGCNS-BC
• Laura B Currence, NP
• Richard Lee Curry, MD

• Counselor in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.