Active NPI
Good Mourning Counseling & Consulting LLC
- Adult Mental Health Clinic/Center
- Virginia Beach, VA
National Provider Identifier
1740780345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 0701007162
- 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
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-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Virginia Beach, VA
- NPI 1972965184
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.