Organization Active NPI

Looseleaf Clinical Consulting

  • Community/Behavioral Health Agency
  • Newport News, VA
National Provider Identifier
1881136059
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0904007077 Issued in VA
Legal business name
LOOSELEAF CLINICAL CONSULTING
Practice address
685 Turnberry Blvd
#14774
Newport News, VA 23608-0290
Phone
(757) 240-9497
NPI assigned
Nov 4, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Mrs. Letitia Laurien, LCSW
Title
Ceo
Phone
(757) 503-4471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0904007077 VA Primary

Addresses

Primary practice location

685 Turnberry Blvd
#14774
Newport News, VA 23608-0290

Mailing address

685 Turnberry Blvd
#14774
Newport News, VA 23608-0290
Phone (757) 240-9497

Other identifiers 2

IdentifierTypeStateIssuer
5573MedicaidVA
1013158963OtherNPI

National Provider Directory

National Provider Directory

Locations

685 Turnberry Blvd
Unit 14774
Newport News, VA 23608
Phone (757) 240-9497

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1881136059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 TURNBERRY BLVD",
            "address_2": "#14774",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236080290",
            "telephone_number": "757-240-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 TURNBERRY BLVD",
            "address_2": "#14774",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236080290",
            "telephone_number": "757-240-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOSELEAF CLINICAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "LAURIEN",
        "authorized_official_first_name": "LETITIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-503-4471",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904007077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5573",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013158963",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.