Active NPI
Holistic Mental Health Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hampton, VA
National Provider Identifier
1831151463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- HOLISTIC MENTAL HEALTH INC
- Practice address
- 2211 Todds Lane
Hampton, VA 23666 - Phone
- (757) 826-2514
- Fax
- (757) 826-5560
- NPI assigned
- Apr 6, 2006
- Last updated
- Apr 10, 2008
- 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
- Clara Elizabeth Ewing, LMFT LPC CSAC
- Title
- Director President Holistic Mental
- Phone
- (757) 826-2514
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
2211 Todds Lane
Hampton, VA 23666
Mailing address
PO Box 8084
Hampton, VA 23666
Phone (757) 826-2514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5400261 | Medicaid | VA |
Other names 1
- Clara Elizabeth Ewing LMFT LPC CSAC
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, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Hampton, VA
- NPI 1598938359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207785600000",
"number": "1831151463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8084",
"city": "HAMPTON",
"state": "VA",
"postal_code": "23666",
"telephone_number": "757-826-2514",
"fax_number": "757-826-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 TODDS LANE",
"city": "HAMPTON",
"state": "VA",
"postal_code": "23666",
"telephone_number": "757-826-2514",
"fax_number": "757-826-5560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC MENTAL HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-06",
"last_updated": "2008-04-10",
"status": "A",
"authorized_official_last_name": "EWING",
"authorized_official_first_name": "CLARA",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "DIRECTOR PRESIDENT HOLISTIC MENTAL",
"authorized_official_telephone_number": "757-826-2514",
"authorized_official_credential": "LMFT LPC CSAC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5400261",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clara Elizabeth Ewing LMFT LPC CSAC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.