TERRI WIDEN (NPI# 1114567666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114567666 |
| Entity Type | Individual |
| Full Name | TERRI WIDEN |
| Practice Address |
110 Maycox Ave Ste 3 Norfolk VA 23505-3433 |
| Mailing Address |
5704 Fort Belvoir Ct Virginia Beach VA 23464-8785 |
| Practice Telephone | 7577697040 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 0704011409 | VA | Behavioral Health & Social Service Providers |
| Street Address |
110 MAYCOX AVE STE 3 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093357048 | Krystal Vaughn | Counselor | 870 N Military Hwy Ste 208, Norfolk, VA 23502-3638 | 2019-10-10 |
| 1861950818 | Mike Moreno | Counselor | 2420 W Omaha Ave, Norfolk, NE 68701-1526 | 2019-03-08 |
| 1316404544 | Bold Ruler, LLC | Counselor | 957 W 21st St Ste L, Norfolk, VA 23517-1536 | 2019-02-24 |
| 1801363189 | Positive Wellness and Recovery LLC | Counselor | 5900 E Virginia Beach Blvd Ste 302, Norfolk, VA 23502-2488 | 2018-10-25 |
| 1922546746 | Family Wellness and Recovery Center, LLC | Counselor | 5121 E. Virginia Beach Blvd, Suite C-2, Norfolk, VA 23502-4041 | 2017-02-01 |
| 1457750051 | Kevin Weaver | Counselor | 846 W 35th St, Norfolk, VA 23508-3011 | 2014-08-19 |
| 1295144343 | Bethany Arcand | Counselor | 934 Armfield Cir Apt 204, Norfolk, VA 23505-3235 | 2014-08-02 |
| 1598104978 | Jennifer Lee Levine | Counselor | 206 Dedham St, Norfolk, MA 02056-1667 | 2013-06-19 |
| 1508140856 | Susan Cianfaglione | Counselor | 1526 Versailles Ave, No. 1, Norfolk, VA 23509-1146 | 2011-10-05 |
| 1316232085 | Nicole J. Turner Beardslee | Counselor | 802 Custer Ave., Suite A, Norfolk, NE 68701 | 2011-06-10 |
| Find all providers in NORFOLK | ||||
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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.