Bird on a Wire, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BIRD ON A WIRE, LLC

Practice address

15 Research Drive
Suite a
Hampton, VA 23666

Phone

(804) 413-9037

Fax

(757) 852-0475

NPI assigned

May 5, 2021

Last updated

Dec 15, 2023By 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

Gwendolyn Rose Mbuvi, LMFTNPI 1174131452

Title

Owner

Phone

(804) 413-9037

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Bird on a Wire LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phenomenal Care, LLC

  • Marriage & Family Therapist
  • Hampton, VA
  • NPI 1578330544
  NPD tax ID

Locations

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.

• Gwendolyn Rose Mbuvi, LMFT

  • Marriage & Family Therapist
  • Hampton, VA
  • NPI 1174131452
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1760065858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007C VICTORY BLVD # 177",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935601",
            "telephone_number": "804-413-9037",
            "fax_number": "757-852-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RESEARCH DRIVE",
            "address_2": "SUITE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23666",
            "telephone_number": "804-413-9037",
            "fax_number": "757-852-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRD ON A WIRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "MBUVI",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-413-9037",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiragkumar Bharodiya
• Goutom Kumar Saha Bhowmick, DDS
• Nirjhor Bhowmik, M.D.
• Stephanie Alexandra Bice, LCSW
• Sharon Bielecki
• Brett David Birkmeyer, FNP-C
• Michael G. Biscan, CRNA
• Matthew Bisgaier, MD
• Chantel Bishop, LCSW
• Hillary Bissing

• Marriage & Family Therapist in Hampton, VA
• Providers in Hampton, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.

Verify at the official NPI Registry.