Organization Active NPI

Good Mourning Counseling & Consulting LLC

  • Adult Mental Health Clinic/Center
  • Virginia Beach, VA
National Provider Identifier
1740780345
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
0701007162 Issued in VA
Legal business name
GOOD MOURNING COUNSELING & CONSULTING LLC
Practice address
3630 S Plaza TRL Ste 210C
Virginia Beach, VA 23452-3366
Phone
(757) 572-4609
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Mrs. Anisa Glowczak, MSED, LPC, NCC-GC-CNPI 1972965184
Title
Director/Counselor
Phone
(757) 572-4609

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
Adult Mental Health Clinic/Center 261QM0850X 0701007162 VA Primary

Addresses

Primary practice location

3630 S Plaza TRL Ste 210C
Virginia Beach, VA 23452-3366

Mailing address

1324 Debbs LN
Chesapeake, VA 23320-8202
Phone (757) 436-4368

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1740780345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 DEBBS LN",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208202",
            "telephone_number": "757-436-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 S PLAZA TRL STE 210C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523366",
            "telephone_number": "757-572-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD MOURNING COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "GLOWCZAK",
        "authorized_official_first_name": "ANISA",
        "authorized_official_title_or_position": "DIRECTOR/COUNSELOR",
        "authorized_official_telephone_number": "757-572-4609",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSED, LPC, NCC-GC-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0701007162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.