Individual provider Active NPI

Rekita Nelson, LPC, LPASTC

  • Pastoral Counselor
  • Suffolk, VA
National Provider Identifier
1831703545
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
0701014009 Issued in VA
Practice address
152 Secretariat Dr
Suffolk, VA 23435-1786
Phone
(757) 660-0515
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 0704013293 VA
Pastoral Counselor 101YP1600X 0701014009 VA Primary

Addresses

Primary practice location

152 Secretariat Dr
Suffolk, VA 23435-1786

Mailing address

152 Secretariat Dr
Suffolk, VA 23435-1786
Phone (757) 660-0515

Other practice location 1

11830 Canon Blvd Ste C
Newport News, VA 23606-2568
Phone (757) 660-0515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0704013293VAMDMental Health Counselor
0701014009VAMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bound 2 Connect Ministries, Inc. Pastoral CurrentSince Nov 7, 2025 Accepting new patients
Ivy Health and Psychological Services LLC Single Specialty PastSince Jan 1, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1831703545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SECRETARIAT DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351786",
            "telephone_number": "757-660-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SECRETARIAT DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351786",
            "telephone_number": "757-660-0515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11830 Canon Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236062568",
            "country_code": "US",
            "telephone_number": "757-660-0515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "REKITA",
        "name_prefix": "Ms.",
        "credential": "LPC, LPASTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704013293",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "VA",
            "license": "0701014009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.