Behavior Health & Wellness Center, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BEHAVIOR HEALTH & WELLNESS CENTER, LLC

Practice address

11824 Fishing Point Dr Ste B
Newport News, VA 23606-2679

Phone

(757) 599-0012

Fax

(888) 519-4656

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Marlin Adili MettersNPI 1487029294

Title

Partner

Phone

(510) 776-3984

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, VA2 enrollments

Enrollment records 2

Locations

Practitioners 8

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

• Kathryn Corson I, MSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1770995334

  Clinical, VA

  Medicare reassignment NPD
• Tanaysha Ebony Wilson, MSW, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1285279257

  Clinical, VA

  Medicare reassignment NPD
• Sonia Xochitl Correa, MA PSYCHOLOGY

  • Marriage & Family Therapist
  • Chula Vista, CA
  • NPI 1891495081

  CA, Professional

  Medicare reassignment NPD
• Jocelyn Marlen Granillo Gallegos

  • Marriage & Family Therapist
  • Roseville, CA
  • NPI 1013626357

  CA

  Medicare reassignment NPD
• Crystal Molina, MFT, APCC

  • Marriage & Family Therapist
  • Mojave, CA
  • NPI 1689290140

  CA

  Medicare reassignment NPD
• Lisa Mozee, LMFT

  • Marriage & Family Therapist
  • San Bernardino, CA
  • NPI 1205962586

  CA

  Medicare reassignment NPD
• Ivette Sizemore, LMFT

  • Marriage & Family Therapist
  • Bakersfield, CA
  • NPI 1013324474

  CA

  Medicare reassignment NPD
• Marlin Metters

  • Case Manager/Care Coordinator
  • Richmond, VA
  • NPI 1487029294
  NPD Authorized official

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1962736595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 CONE MANOR LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136604",
            "telephone_number": "510-776-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11824 FISHING POINT DR STE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062679",
            "telephone_number": "757-599-0012",
            "fax_number": "888-519-4656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 NW Loop 410 Ste 700",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782132258",
            "country_code": "US",
            "telephone_number": "510-776-3984",
            "fax_number": "888-519-4656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Oxford St Ste 208B",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919113119",
            "country_code": "US",
            "telephone_number": "760-278-3112",
            "fax_number": "888-519-4656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIOR HEALTH & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "METTERS",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_middle_name": "ADILI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "510-776-3984",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-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": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Janine Beckett, LPC
• Roxanne R Beckman, FNP-BC
• Kathryn Lynne Beddow, LCSW
• Dino Beduya
• Caleb Jefferson Beers, MD
• Behavioral Health Associates of Virginia
• Behavioral Health Consultants of Hampton Roads LLC
• Behavioral Health Counseling and Substance Abuse Services, LLC
• Behavioral Medicine Institute
• Darren Jay Beilstein, PT

• All providers in Newport News, VA
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.