Organization Active NPI

Sumara Wiggins LLC

  • Mental Health Counselor
  • North Chesterfield, VA
National Provider Identifier
1821704719
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SUMARA WIGGINS LLC
Practice address
1905 Huguenot Rd Ste 306
North Chesterfield, VA 23235-4312
Phone
(804) 301-3424
NPI assigned
Jan 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Ms. Sumara Keyanna Wiggins, LPCNPI 1003481771
Title
Clinician/Owner
Phone
(804) 301-3424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1905 Huguenot Rd Ste 306
North Chesterfield, VA 23235-4312

Mailing address

2806 Botone Ave
North Chesterfield, VA 23237-2068
Phone (804) 301-3424

Other names 1

  • Journey Therapeutic Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1821704719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 BOTONE AVE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232372068",
            "telephone_number": "804-301-3424",
            "fax_number": "804-800-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 HUGUENOT RD STE 306",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354312",
            "telephone_number": "804-301-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMARA WIGGINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "SUMARA",
        "authorized_official_middle_name": "KEYANNA",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "804-301-3424",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journey Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.