Divine Works

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0710102368 Issued in VA

Legal business name

DIVINE WORKS

Practice address

4100 Virginia Beach Blvd
Virginia Beach, VA 23452-1744

Phone

(757) 779-4493

NPI assigned

May 8, 2015

Organization subpart

No

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

Authorized official

Name

Anthony Peterkin

Title

Case Manager Supervisor

Phone

(757) 779-4493

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Donna Elliot, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Virginia Beach, VA
  • NPI 1316322878
  NPD (past)

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1811375017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 E HASTINGS ARCH",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621506",
            "telephone_number": "757-779-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521744",
            "telephone_number": "757-779-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE WORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "PETERKIN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CASE MANAGER SUPERVISOR",
        "authorized_official_telephone_number": "757-779-4493"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divas, Inc
• Diversified Strategies, LLC
• Divine Heart Supportive Community Services LLC
• Divine House, LLC
• Divine Life Services LLC
• Divinefavor LLC
• Divinely Chaotic Wellness
• Ashley Paige Dixon, RDH
• Wendy Dixon
• Sara Dixson, PT, DPT

• Addiction (Substance Use Disorder) Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.