Active NPI
Release Wellness
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport News, VA
National Provider Identifier
1700475845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- RELEASE WELLNESS
- Practice address
- 11828 Canon Blvd Ste H
Newport News, VA 23606-2554 - Phone
- (757) 751-9508
- Fax
- (757) 210-4405
- NPI assigned
- Jan 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clervett Nikiene Williams, LPC
- Title
- Owner, Therapist
- Phone
- (843) 441-6419
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
11828 Canon Blvd Ste H
Newport News, VA 23606-2554
Mailing address
11828 Canon Blvd Ste H
Newport News, VA 23606-2554
Phone (757) 751-9508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11828 Canon Blvd
Ste H
Newport News, VA 23606
Phone (757) 751-9508
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Hampton, VA
- NPI 1285262683
-
- Professional Counselor
- Prince George, VA
- NPI 1902661614
-
- Mental Health Counselor
- Newport News, VA
- NPI 1225766389
-
- Psychiatric/Mental Health Nurse Practitioner
- Newport News, VA
- NPI 1942892609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780531200000",
"number": "1700475845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11828 CANON BLVD STE H",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236062554",
"telephone_number": "757-751-9508",
"fax_number": "757-210-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11828 CANON BLVD STE H",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236062554",
"telephone_number": "757-751-9508",
"fax_number": "757-210-4405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELEASE WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-13",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "CLERVETT",
"authorized_official_middle_name": "NIKIENE",
"authorized_official_title_or_position": "OWNER, THERAPIST",
"authorized_official_telephone_number": "843-441-6419",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.