AUTHENTIC SELF COUNSELING SERVICES – NPI #1225527351
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
AUTHENTIC SELF COUNSELING SERVICES is a provider located in PORTSMOUTH, VA. NPPES has assigned the NPI number 1225527351 to AUTHENTIC SELF COUNSELING SERVICES on May 03, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AUTHENTIC SELF COUNSELING SERVICES” is a dba name, the actual legal business name for this organization is TIDEWATER MOBILE MEDICINE, PLLC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 4 years ago on Jan 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUTHENTIC SELF COUNSELING SERVICES below.
NPI Profile for
TIDEWATER MOBILE MEDICINE, PLLC
(more than 8 years ago)
All associated names:
AUTHENTIC SELF COUNSELING SERVICES
TMM Medical Group
PORTSMOUTH, VA 23707-3126 Phone: (757) 977-9675 Fax: (757) 483-8099
1 Other location(s):
Chesapeake, VA 23321-5603
Phone: (757) 977-9675
Fax: (757) 483-8099
CEO/OWNER
Phone: (757) 977-9675
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
||
| 343900000X - Non-emergency Medical Transport (VAN) |
||
| 261QP2300X - Clinic/Center / Primary Care |
VA | 46193 |
| 1041C0700X - Social Worker / Clinical |
||
| 101YA0400X - Counselor / Addiction (Substance Use Disorder) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.