Sucess Matters, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0904007292 Issued in VA

Legal business name

SUCESS MATTERS, LLC

Practice address

14071 Big Crest LN
208
Woodbridge, VA 22191-5573

Phone

(469) 544-9932

NPI assigned

Aug 21, 2016

Last updated

Aug 21, 2016By 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

Jimmy Henry Copeland Jr.

Title

President

Phone

(469) 544-9932

Specialties & licenses 1

Addresses

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.

• Yvonneda Copeland, LCSW

  • Clinical Social Worker
  • Woodbridge, VA
  • NPI 1598207854
  NPD (past)

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471737600000",
    "number": "1710432653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14071 BIG CREST LN",
            "address_2": "208",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915573",
            "telephone_number": "469-544-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14071 BIG CREST LN",
            "address_2": "208",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915573",
            "telephone_number": "469-544-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCESS MATTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-21",
        "last_updated": "2016-08-21",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-544-9932",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904007292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endie Naia Suckiel, RDH
• Maria Danielle Sugastti Balcazar, DO
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• Community/Behavioral Health Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; 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.