Organization Active NPI

Growth Counseling, LLC

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1841622537
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005086 Issued in VA
Legal business name
GROWTH COUNSELING, LLC
Practice address
1709 Colley Ave
Suite 216
Norfolk, VA 23517-1675
Phone
(757) 965-3901
Fax
(757) 802-9222
NPI assigned
Aug 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Kathryn NiezgodaNPI 1326323825
Title
Managing Member
Phone
(757) 291-5195

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 701005413 VA
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 0701005086 VA Primary

Addresses

Primary practice location

1709 Colley Ave
Suite 216
Norfolk, VA 23517-1675

Mailing address

1709 Colley Ave
Suite 216
Norfolk, VA 23517-1675

National Provider Directory

National Provider Directory

Locations

1709 Colley Ave
Ste 216
Norfolk, VA 23517
Phone (757) 604-9498

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": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1841622537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 COLLEY AVE",
            "address_2": "SUITE 216",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171675",
            "fax_number": "757-802-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 COLLEY AVE",
            "address_2": "SUITE 216",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171675",
            "telephone_number": "757-965-3901",
            "fax_number": "757-802-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "NIEZGODA",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "757-291-5195"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "701005413",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 5, 2013; 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.