Active NPI
Sel
- Community/Behavioral Health Agency
- Norfolk, VA
National Provider Identifier
1831071661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SEL
- Doing business as
- Inclusicare Supportive Services
- Practice address
- 500 E Main St
Norfolk, VA 23510-2205 - Phone
- (757) 837-6060
- NPI assigned
- Jul 23, 2025
- 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
- Miss Tierra Shante Mullen
- Title
- Ceo
- Phone
- (757) 837-6060
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
500 E Main St
Norfolk, VA 23510-2205
Mailing address
500 E Main St
Norfolk, VA 23510-2205
Phone (757) 837-6060
Other names 1
- Inclusicare Supportive Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Norfolk, VA
- NPI 1023954302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1831071661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E MAIN ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235102205",
"telephone_number": "757-837-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E MAIN ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235102205",
"telephone_number": "757-837-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEL",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "MULLEN",
"authorized_official_first_name": "TIERRA",
"authorized_official_middle_name": "SHANTE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-837-6060",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Inclusicare Supportive Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.