Organization Active NPI

Wellness Behavioral Health Inc.

  • Community/Behavioral Health Agency
  • Hampton, VA
National Provider Identifier
1922402510
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2616 Issued in VA
Legal business name
WELLNESS BEHAVIORAL HEALTH INC.
Practice address
50 W Queens Way
Suite 206
Hampton, VA 23669-4279
Phone
(757) 228-5635
Fax
(757) 233-0327
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Dr. James LassiterNPI 1851352496
Title
Executive/Clinical Director
Phone
(757) 228-5635

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
Community/Behavioral Health Agency 251S00000X 2616 VA Primary

Addresses

Primary practice location

50 W Queens Way
Suite 206
Hampton, VA 23669-4279

Mailing address

522 S Independence Blvd
Suite 201
Virginia Beach, VA 23452-1149
Phone (757) 228-5635

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201007001844 VA Part B Supplier - Clinic/Group Practice 9830518075 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

50 W Queens Way
Ste 206
Hampton, VA 23669
Phone (757) 228-5635

Practitioners & affiliated clinicians

Practitioners 2

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": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1922402510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S INDEPENDENCE BLVD",
            "address_2": "SUITE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521149",
            "telephone_number": "757-228-5635",
            "fax_number": "757-233-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W QUEENS WAY",
            "address_2": "SUITE 206",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694279",
            "telephone_number": "757-228-5635",
            "fax_number": "757-233-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS BEHAVIORAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "757-228-5635",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2616",
            "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 20, 2014; 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.