Organization Active NPI

First Heart Residential Services, LLC

Doing business as Trinity Counseling Center

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1952073355
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FIRST HEART RESIDENTIAL SERVICES, LLC
Doing business as
Trinity Counseling Center
Practice address
525 Dorothy CT
Chesapeake, VA 23323
Phone
(757) 524-0461
Fax
(757) 800-8336
NPI assigned
Oct 4, 2021
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Lynn Parker, LPNPI 1548648256
Title
Owner
Phone
(757) 524-0461

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

525 Dorothy CT
Chesapeake, VA 23323

Mailing address

1245G Cedar Rd # 223
Chesapeake, VA 23322-7103
Phone (757) 524-0461

Other identifiers 1

IdentifierTypeStateIssuer
601019218MedicaidVA

Other names 1

  • TRINITY COUNSELING CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Laptop Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241126000506 VA Part B Supplier - Clinic/Group Practice 7315472446 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

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": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1952073355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245G CEDAR RD # 223",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227103",
            "telephone_number": "757-524-0461",
            "fax_number": "757-800-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 DOROTHY CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23323",
            "telephone_number": "757-524-0461",
            "fax_number": "757-800-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST HEART RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-524-0461",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601019218",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Apple MacBook Pro",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ORBI48",
            "address_1": "525 Dorothy Ct",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233236688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TRINITY COUNSELING CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRINITY COUNSELING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.