NPIMap

Organization Active NPI

Pheonix Mental Health Services, LLC

  • Counselor
  • Virginia Beach, VA
National Provider Identifier
1982043170
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701001079 Issued in VA
Legal business name
PHEONIX MENTAL HEALTH SERVICES, LLC
Practice address
810 Kempsville Rd
Suite 6
Virginia Beach, VA 23464-2723
Phone
(757) 619-2984
NPI assigned
Jun 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Dr. Rosemary A Thompson, ED.D.,LPC
Title
Ceo
Phone
(757) 619-2984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 0701001079 VA Primary

Addresses

Primary practice location

810 Kempsville Rd
Suite 6
Virginia Beach, VA 23464-2723

Mailing address

810 Kempsville Rd
Suite 6
Virginia Beach, VA 23464-2723
Phone (757) 619-2984

National Provider Directory

National Provider Directory
Tax ID family
Pheonix Mental Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1982043170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 KEMPSVILLE RD",
            "address_2": "SUITE 6",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642723",
            "telephone_number": "757-619-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 KEMPSVILLE RD",
            "address_2": "SUITE 6",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642723",
            "telephone_number": "757-619-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHEONIX MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-619-2984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D.,LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701001079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 20, 2013; 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.