Active NPI
New Beginnings Behavioral Health, LLC
- Mental Health Counselor
- Hampton, VA
National Provider Identifier
1780041343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0904002584
- Legal business name
- NEW BEGINNINGS BEHAVIORAL HEALTH, LLC
- Practice address
- 4410 Claiborne SQ E
St 334
Hampton, VA 23666-2071 - Phone
- (757) 268-2891
- Fax
- (855) 898-1313
- NPI assigned
- Jan 26, 2016
- 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
- Jeremiah Williams, LCSW
- Title
- LCSW
- Phone
- (757) 268-2891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0904002584 | VA | Primary |
Addresses
Primary practice location
4410 Claiborne SQ E
St 334
Hampton, VA 23666-2071
Mailing address
4410 Claiborne SQ E
St 334
Hampton, VA 23666-2071
Phone (757) 268-2891
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508015124 | Other | VA | CIGNA |
| 1508015124 | Other | VA | OPTIMA |
| 1508015124 | Medicaid | VA | |
| 1508015124 | Other | VA | VA PREMIER |
| 1508015124 | Other | VA | ANTHEM EAP |
| 1508015124 | Other | VA | ANTHEM BC BS |
| 1508015124 | Other | VA | MAGELLAN |
| 1508015124 | Other | VA | AETNA |
| 1508015124 | Other | VA | VALUE OPTIONS |
| 1508015124 | Other | VA | TRICARE |
| 1508015124 | Other | VA | UNITED HEALTH CARE |
| 1508015124 | Other | VA | MILITARY ONE SOURCE |
| 1508015124 | Other | VA | ANTHEM HEALTH KEEPERS |
| 1508015124 | Other | VA | COMPSYCH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459382400000",
"number": "1780041343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 CLAIBORNE SQ E",
"address_2": "ST 334",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236662071",
"telephone_number": "757-268-2891",
"fax_number": "855-898-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 CLAIBORNE SQ E",
"address_2": "ST 334",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236662071",
"telephone_number": "757-268-2891",
"fax_number": "855-898-1313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BEGINNINGS BEHAVIORAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-26",
"last_updated": "2016-03-31",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JEREMIAH",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "757-268-2891",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0904002584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1508015124",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "1508015124",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508015124",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER",
"identifier": "1508015124",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM EAP",
"identifier": "1508015124",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "1508015124",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "1508015124",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1508015124",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "1508015124",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1508015124",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1508015124",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MILITARY ONE SOURCE",
"identifier": "1508015124",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH KEEPERS",
"identifier": "1508015124",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "1508015124",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.