Heart & Soul LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

HEART & SOUL LLC

Practice address

6147 Jefferson Ave
Newport News, VA 23605-1511

Phone

(757) 826-1300

Fax

(804) 482-3761

NPI assigned

Mar 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ednora B. Mason, DNP, APRN, PMHNP-BCNPI 1083411722

Title

Clinician

Phone

(757) 342-5461

Specialties & licenses 1

Addresses

Other names 3

• Community Excursions Psychosocial Rehabilitation Doing business as
• Crispell House Doing business as
• MMBR MHSS Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ednora Bradley Mason, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport News, VA
  • NPI 1083411722
  Medicare reassignment NPD Authorized official
• Matthew L Bradley Jr., LCSW

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1184572117

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1881936748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 CRISPELL CT",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662427",
            "telephone_number": "757-838-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6147 JEFFERSON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051511",
            "telephone_number": "757-826-1300",
            "fax_number": "804-482-3761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 Crispell Ct",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662427",
            "country_code": "US",
            "telephone_number": "757-838-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEART & SOUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "EDNORA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "757-342-5461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Excursions Psychosocial Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crispell House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crispell House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MMBR MHSS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Child Intellectual and/or Developmental Disabilities Respite Care in Newport News, VA
• Providers in Newport News, VA by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.