Lifewell Psychotherapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LIFEWELL PSYCHOTHERAPY LLC

Practice address

834 44TH St Ste a
Norfolk, VA 23508-2045

Phone

(757) 231-7401

Fax

(757) 743-3015

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Jerrica Newsome, LPCNPI 1679287312

Title

Owner/Therapist

Phone

(757) 231-7401

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.

• Jerrica Chenae Newsome, LPC

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1679287312
  NPD Authorized official

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732406400000",
    "number": "1811728801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 44TH ST STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082045",
            "telephone_number": "757-231-7401",
            "fax_number": "757-743-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 44TH ST STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082045",
            "telephone_number": "757-231-7401",
            "fax_number": "757-743-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWELL PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "JERRICA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "757-231-7401",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; 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.