NPIMap

Organization Active NPI

Forkids,Inc.

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1790038602
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004678 Issued in VA
Legal business name
FORKIDS,INC.
Practice address
131 D View Ave
Norfolk, VA 23503-2901
Phone
(757) 622-6400
Fax
(757) 257-0212
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Kate Hermanson, LPC
Title
Manager of Clinical Services
Phone
(757) 622-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0701004678 VA Primary

Addresses

Primary practice location

131 D View Ave
Norfolk, VA 23503-2901

Mailing address

4200 Colley Ave
Norfolk, VA 23508-2508
Phone (757) 622-6400

National Provider Directory

National Provider Directory

Locations

4200 Colley Ave
Norfolk, VA 23508

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1790038602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 COLLEY AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082508",
            "telephone_number": "757-622-6400",
            "fax_number": "757-257-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 D VIEW AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235032901",
            "telephone_number": "757-622-6400",
            "fax_number": "757-257-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORKIDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "HERMANSON",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "MANAGER OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "757-622-6400",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.