Organization Active NPI

Terrinda Alston, PLLC

Doing business as Renewed Foundations Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1679208011
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TERRINDA ALSTON, PLLC
Doing business as
Renewed Foundations Mental Health Services
Practice address
6330 Newtown Rd Ste 420
Norfolk, VA 23502-4802
Phone
(757) 739-4577
Fax
(833) 450-5359
NPI assigned
Jul 20, 2022
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Mrs. Terrinda Alston, APRN,NP-C, PMHNP-BCNPI 1144601980
Title
Owner/Provider
Phone
(757) 739-4577

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

6330 Newtown Rd Ste 420
Norfolk, VA 23502-4802

Mailing address

2125 Silverberry Dr Apt 208
Chesapeake, VA 23321-3281
Phone (757) 739-4577

Other identifiers 1

IdentifierTypeStateIssuer
1144601980MedicaidVA

Other names 1

  • Renewed Foundations Mental Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221025002504 VA Part B Supplier - Clinic/Group Practice 3779959267 Receives reassigned benefits from 2 practitioners
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

6330 Newtown Rd
Ste 250
Norfolk, VA 23502
Phone (757) 504-0247

Practitioners & affiliated clinicians

Practitioners 4

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": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1679208011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 SILVERBERRY DR APT 208",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213281",
            "telephone_number": "757-739-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD STE 420",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-739-4577",
            "fax_number": "833-450-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRINDA ALSTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "TERRINDA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "757-739-4577",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN,NP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144601980",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewed Foundations Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renewed Foundations Mental Health 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 Oct 17, 2024; 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.