Active NPI
Teachable Moments Therapy Group
- Professional Counselor
- Hampton, VA
National Provider Identifier
1841779477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syreeta Tiara Dawkins, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Hampton, VA
- NPI 1487083275
-
- Psychiatric/Mental Health Nurse Practitioner
- Hampton, VA
- NPI 1720744857
Single Specialty
-
- Clinical Social Worker
- Hampton, VA
- NPI 1821408717
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.