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REWIRED CANVAS PSYCHOTHERAPY LLC
NPI 1457171563
Counselor - Professional in Norfolk, VA

Active since October 14, 2024
2200 COLONIAL AVE STE 12, NORFOLK, VA 23517(757) 589-3498 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Rewired Canvas Psychotherapy Llc NPPES

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

REWIRED CANVAS PSYCHOTHERAPY LLC (NPI 1457171563) is a healthcare organization registered as a professional in Norfolk, Virginia and active in the NPI registry since October 2024. The organization lists Kerry Ann Kruk-borisov, Owner / Manager, as its authorized official.

NPPES Registry Identity

NPI1457171563
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameREWIRED CANVAS PSYCHOTHERAPY LLC
Location Address2200 COLONIAL AVE STE 12Norfolk, VA 23517-1919
Mailing Address2200 Colonial Ave Ste 12Norfolk, VA 23517-1919 · (757) 589-3498
Phone(757) 589-3498
Organization SubpartNo
Authorized OfficialKerry Ann Kruk-borisovOwner / Manager · (757) 589-3498
Enumeration DateOctober 14, 2024
Last NPPES UpdateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1457171563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedArt TherapistTaxonomy 221700000X
2200 COLONIAL AVE STE 12, Norfolk, VA 23517
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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

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LAURA JEANNE O'NEAL LCSW
Social Worker (Clinical)
2200 COLONIAL AVE STE 12
NORFOLK, VA 23517
Norfolk City (757) 646-5195
DR. RUTH FRANCINE CAUTHEN D.D.S
Dentist (General Practice)
2200 COLONIAL AVE STE 12
NORFOLK, VA 23517
Norfolk City (757) 626-0633
MEAGAN CASEY
Social Worker (Clinical)
2200 COLONIAL AVE STE 12
NORFOLK, VA 23517
Norfolk City (757) 937-5780
REBECCA LOUTH BCN
Specialist/Technologist, Other
2200 COLONIAL AVE STE 12
NORFOLK, VA 23517
Norfolk City (757) 450-5734
KERRY ANN KRUK-BORISOV LPC, ATR-BC, CSAC
Counselor (Professional)
2200 COLONIAL AVE STE 12
NORFOLK, VA 23517
Norfolk City (757) 937-5780
MRS. SARAH ASHLEY SHRADER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2200 COLONIAL AVE STE 12
NORFOLK, VA 23517
Norfolk City (757) 937-5780
MELINDA JUNE MEYERS LPC, ATR
Counselor (Mental Health)
2200 COLONIAL AVE STE 12
NORFOLK, VA 23517
Norfolk City (757) 937-5780
PETRA MCDONALD LCSW
Social Worker (Clinical)
2200 COLONIAL AVE STE 12
NORFOLK, VA 23517
Norfolk City (757) 816-2921

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 Rewired Canvas Psychotherapy LLC's NPI number?

The NPI number for Rewired Canvas Psychotherapy LLC is 1457171563. It was assigned to this organization in the NPPES registry on October 14, 2024.

Where is Rewired Canvas Psychotherapy LLC located?

Rewired Canvas Psychotherapy LLC is located at 2200 Colonial Ave Ste 12, Norfolk, VA 23517. The listed phone number is (757) 589-3498.

What is Rewired Canvas Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Rewired Canvas Psychotherapy LLC was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.