BOSS INNER CHILD COUNSELING, LLC (NPI# 1962069526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962069526 |
| Entity Type | Organization |
| Organization Name | BOSS INNER CHILD COUNSELING, LLC |
| Practice Address |
14203 Old Courthouse Way Suite B Newport News VA 23602 |
| Mailing Address |
110 Coliseum Crossing #138 Hampton VA 23666-5962 |
| Practice Telephone | 7578930321 |
| Mailing Telephone | 7578930321 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |
| Authorized Official Name | MS. INGRID MARIE BORNIA (OWNER AND CEO) |
| Authorized Official Telephone | 7578930321 |
| Authorized Official Credential | LCSW, BCD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
14203 OLD COURTHOUSE WAY SUITE B |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| 1962814376 | Stephanie Heaton King | Nurse Practitioner | 13000 Warwick Blvd # 8497, Newport News, VA 23602 | 2014-05-20 |
| Find all providers in zip 23602 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493582 | Therapeutic Services of Virginia | Community/Behavioral Health | 101 Deep Creek Rd, Newport News, VA 23606-2219 | 2020-09-25 |
| 1124684253 | Mindful Journey Therapeutic Services LLC | Community/Behavioral Health | 211 Old Bridge Ct, Newport News, VA 23608-5025 | 2019-05-14 |
| 1306301023 | Exceptional Care and Consultation Services, LLC | Community/Behavioral Health | 223 Denbigh Blvd, Newport News, VA 23608-3367 | 2019-02-06 |
| 1720550726 | True Heart Counseling LLC | Community/Behavioral Health | 813 Forrest Dr Ste B, Newport News, VA 23606-4513 | 2019-01-02 |
| 1093223968 | Tidewater Counseling Group, LLC | Community/Behavioral Health | 12695 Mcmanus Blvd Bldg 7b, Newport News, VA 23602-4476 | 2018-01-13 |
| 1386159150 | Each One Teach One, LLC | Community/Behavioral Health | 12388 Warwick Blvd Ste 212, Newport News, VA 23606-3857 | 2017-12-02 |
| 1801332606 | Paramount Counseling Inc | Community/Behavioral Health | 105 Nat Turner Blvd S, Newport News, VA 23606-2898 | 2017-01-17 |
| 1881136059 | Looseleaf Clinical Consulting | Community/Behavioral Health | 685 Turnberry Blvd, #14774, Newport News, VA 23608-0290 | 2016-11-04 |
| 1255885323 | Holistic Services LLC | Community/Behavioral Health | 777 J Clyde Morris Blvd, Newport News, VA 23601-1513 | 2016-08-06 |
| 1124471750 | Children of The Kingdom Family Support Srrvices LLC | Community/Behavioral Health | 610 Thimble Shoals Blvd Ste 201d, Newport News, VA 23606-4510 | 2016-07-19 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.