Organization Active NPI

Teachable Moments Therapy Group

  • Professional Counselor
  • Hampton, VA
National Provider Identifier
1841779477
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TEACHABLE MOMENTS THERAPY GROUP
Practice address
2 Eaton St Ste 502
Hampton, VA 23669-4055
Phone
(757) 535-9080
Fax
(757) 251-6467
NPI assigned
Aug 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Syreeta Tiara Dawkins, LCSWNPI 1487083275
Title
Ceo
Phone
(757) 535-9080

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2 Eaton St Ste 502
Hampton, VA 23669-4055

Mailing address

2 Eaton St Ste 502
Hampton, VA 23669-4055
Phone (757) 535-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250122000018 VA Part B Supplier - Clinic/Group Practice 2668901638 Receives reassigned benefits from 3 practitioners
Practice locations: Hampton, VA

National Provider Directory

National Provider Directory

Locations

2019 Cunningham Dr
Ste 101
Hampton, VA 23666
Phone (757) 717-6353

2 Eaton St
Ste 502
Hampton, VA 23669
Phone (757) 535-9080

Practitioners & affiliated clinicians

Practitioners 5

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": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1841779477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EATON ST STE 502",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694055",
            "telephone_number": "757-535-9080",
            "fax_number": "757-257-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EATON ST STE 502",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694055",
            "telephone_number": "757-535-9080",
            "fax_number": "757-251-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEACHABLE MOMENTS THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "SYREETA",
        "authorized_official_middle_name": "TIARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-535-9080",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.