SUPREME HEALING PSYCHOLOGICAL SERVICES, PLLC.
NPI 1083373740
Nurse Practitioner - Psychiatric/Mental Health in Newport News, VA

Q: What is Supreme Healing Psychological Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since December 09, 2021

825 DILIGENCE DR STE 227, NEWPORT NEWS, VA 23606(757) 933-5386(757) 210-4197 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2024, Sep 9, 2022, May 9, 2022 and 4 more (7 updates tracked since 2021).

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About Supreme Healing Psychological Services, Pllc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPREME HEALING PSYCHOLOGICAL SERVICES, PLLC. (NPI 1083373740) is a healthcare organization registered as a psychiatric/mental health in Newport News, Virginia and active in the NPI registry since December 2021. The organization lists Chiquita Collins, Provider, as its authorized official.

NPPES Registry Identity

NPI1083373740

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSUPREME HEALING PSYCHOLOGICAL SERVICES

Location Address825 DILIGENCE DR STE 227Newport News, VA 23606-4272

Mailing Address825 Diligence Dr Ste 227Newport News, VA 23606-4272 · (757) 933-5386 · Fax (757) 210-4197

Phone(757) 933-5386

Fax(757) 210-4197

Organization SubpartNo

Authorized OfficialChiquita CollinsProvider · (757) 933-5386

Enumeration DateDecember 9, 2021

Last NPPES UpdateJuly 8, 20247 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1083373740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

825 DILIGENCE DR STE 227, Newport News, VA 23606

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Other Names 1

Doing Business AsSupreme Healing Psychological Services, Pllc.

Other Identifiers 1

Medicaid1467020339VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Supreme Healing Psychological Services, Pllc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Supreme Healing Psychological Services, PLLC., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiquita Collins, PMHNP-BC

Nurse Practitioner

NPI 1467020339

825 DILIGENCE DR STE 227
Newport News, VA 23606

(757) 933-5386

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supreme Healing Psychological Services's NPI number?

The NPI number for Supreme Healing Psychological Services is 1083373740. It was assigned to this organization in the NPPES registry on December 9, 2021. The provider is doing business as Supreme Healing Psychological Services, PLLC..

Where is Supreme Healing Psychological Services located?

Supreme Healing Psychological Services is located at 825 Diligence Dr Ste 227, Newport News, VA 23606. The listed phone number is (757) 933-5386.

What is Supreme Healing Psychological Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Supreme Healing Psychological Services enrolled in Medicare?

Yes. Supreme Healing Psychological Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Supreme Healing Psychological Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Supreme Healing Psychological Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Supreme Healing Psychological Services was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.