Rewired Canvas Psychotherapy LLC
NPI 1457171563 · Professional Counselor · Norfolk, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rewired Canvas Psychotherapy LLC is a Professional Counselor organization in Norfolk, VA (NPI 1457171563).
Provider details
- NPI number
- 1457171563
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kerry Kruk-Borisov, Owner / Manager(757) 589-3498
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Art Therapist221700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-14
- Last updated
- 2025-03-27
- Certified
- 2025-03-27
Frequently asked questions
- What is Rewired Canvas Psychotherapy LLC's NPI number?
- Rewired Canvas Psychotherapy LLC's National Provider Identifier (NPI) is 1457171563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rewired Canvas Psychotherapy LLC?
- Rewired Canvas Psychotherapy LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Rewired Canvas Psychotherapy LLC located?
- Rewired Canvas Psychotherapy LLC's practice location on file with NPPES is 2200 Colonial Ave Ste 12, Norfolk, VA 23517-1919.
- What is Rewired Canvas Psychotherapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Rewired Canvas Psychotherapy LLC is (757) 589-3498.
- Does Rewired Canvas Psychotherapy LLC accept Medicare?
- Rewired Canvas Psychotherapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rewired Canvas Psychotherapy LLC?
- The authorized official listed on Rewired Canvas Psychotherapy LLC's NPPES record is Kerry Kruk-Borisov, Owner / Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rewired Canvas Psychotherapy LLC's NPI active?
- Yes — Rewired Canvas Psychotherapy LLC's NPI (1457171563) is active in the NPPES registry as of the last update on 2025-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.