Active NPI
Full of Faith
- Mental Health Counselor
- Newport News, VA
National Provider Identifier
1962860239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FULL OF FAITH
- Practice address
- 11116 Jefferson Ave Ste 106
Newport News, VA 23601-2551 - Phone
- (757) 593-1547
- NPI assigned
- Feb 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jenohn Carter
- Title
- Director
- Phone
- (757) 593-1547
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11116 Jefferson Ave Ste 106
Newport News, VA 23601-2551
Mailing address
11116 Jefferson Ave Ste 106
Newport News, VA 23601-2551
Phone (757) 593-1547
National Provider Directory
National Provider DirectoryLocations
11116 Jefferson Ave
Ste 106
Newport News, VA 23601
Phone (757) 593-1547
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": "1454371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454371200000",
"number": "1962860239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11116 JEFFERSON AVE STE 106",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236012551",
"telephone_number": "757-593-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11116 JEFFERSON AVE STE 106",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236012551",
"telephone_number": "757-593-1547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL OF FAITH",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-02",
"last_updated": "2016-02-02",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "JENOHN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "757-593-1547",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"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 Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.