Organization Active NPI

Salubrious Therapy Solutions LLC

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1952996373
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SALUBRIOUS THERAPY SOLUTIONS LLC
Practice address
780 Pilot House Dr Ste 100a
Newport News, VA 23606-4411
Phone
(757) 593-1840
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Ms. T. Nicole Ellis, LCSW, MACNPI 1649609546
Title
Owner
Phone
(757) 593-1840

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

780 Pilot House Dr Ste 100a
Newport News, VA 23606-4411

Mailing address

780 Pilot House Dr Ste 100a
Newport News, VA 23606-4411
Phone (757) 593-1840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230601002958 VA Part B Supplier - Clinic/Group Practice 8022475284 Receives reassigned benefits from 1 practitioner
Practice locations: Newport News, VA

National Provider Directory

National Provider Directory

Locations

780 Pilot House Dr
Bldg 100
Newport News, VA 23606
Phone (757) 593-1840

780 Pilot House Dr
Ste 100A
Newport News, VA 23606
Phone (757) 223-7821

Practitioners & affiliated clinicians

Practitioners 1

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": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1952996373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 PILOT HOUSE DR STE 100A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064411",
            "telephone_number": "757-593-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 PILOT HOUSE DR STE 100A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064411",
            "telephone_number": "757-593-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUBRIOUS THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "T.  NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-593-1840",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, MAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 31, 2022; 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.