Black Couch Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLACK COUCH THERAPY LLC

Practice address

739 Thimble Shoals Blvd BLDG 704
Newport News, VA 23606-3562

Phone

(757) 272-6330

Fax

(757) 765-7709

NPI assigned

Feb 8, 2023

Last updated

Jan 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tesia S Heard, LCSWNPI 1730802299

Title

Ceo

Phone

(757) 272-6330

Specialties & licenses 1

Addresses

Other names 1

• Black Couch Therapy Former legal business name

Practitioners 1

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.

• Tesia Shirlynn Heard, LCSW

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1730802299
  Authorized official Same address or phone

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1689371981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 THIMBLE SHOALS BLVD BLDG 704",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063562",
            "telephone_number": "757-272-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 THIMBLE SHOALS BLVD BLDG 704",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063562",
            "telephone_number": "757-272-6330",
            "fax_number": "757-765-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK COUCH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "HEARD",
        "authorized_official_first_name": "TESIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-272-6330",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Couch Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Black Couch Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melisha Bissram, MD
• Fadee Michael Bittar, OD
• Florence Lamarsha Bivins
• Kimberley Bivins
• Black Angels Home Health Care LLC
• Black Pine Counseling Center (Black Pine Counseling)
• Kelsey Elizabeth Black, OTR/L
• Angela Blackburn
• Melaina A'Lynn Blackford, PT, DPT
• Blackmer Medical, LLC

• Mental Health Counselor in Newport News, VA
• Providers in Newport News, VA by specialty
• Mental Health Counselor in Virginia

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