NPIMap

Organization Active NPI

Potentials in Life LLC

  • Community/Behavioral Health Agency
  • Virginia Beach, VA
National Provider Identifier
1932502127
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1681-03-001 Issued in VA
Legal business name
POTENTIALS IN LIFE LLC
Practice address
522 S Independence Blvd Ste 102C
Virginia Beach, VA 23452-1149
Phone
(757) 735-0153
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Mr. Terrell CuffeeNPI 1619349248
Title
Ceo/Program Director
Phone
(757) 735-0154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1681-03-001 VA Primary

Addresses

Primary practice location

522 S Independence Blvd Ste 102C
Virginia Beach, VA 23452-1149

Mailing address

522 S Independence Blvd Ste 102C
Virginia Beach, VA 23452-1149
Phone (757) 735-0153

Other names 1

  • P.I.L. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1932502127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S INDEPENDENCE BLVD STE 102C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521149",
            "telephone_number": "757-735-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S INDEPENDENCE BLVD STE 102C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521149",
            "telephone_number": "757-735-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIALS IN LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "CUFFEE",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "757-735-0154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1681-03-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P.I.L.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.