Restorer of Broken Walls PC
NPI 1811080047 · Counselor · Chesapeake, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Restorer of Broken Walls PC is a Counselor organization in Chesapeake, VA (NPI 1811080047).
Provider details
- NPI number
- 1811080047
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Grizzard, Program Director(757) 547-1811
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
- 2006-10-02
- Last updated
- 2024-08-20
- Certified
- 2024-07-31
Frequently asked questions
- What is Restorer of Broken Walls PC's NPI number?
- Restorer of Broken Walls PC's National Provider Identifier (NPI) is 1811080047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Restorer of Broken Walls PC?
- Restorer of Broken Walls PC is classified in the NPPES registry as Counselor (Behavioral Health & Social Service Providers).
- Where is Restorer of Broken Walls PC located?
- Restorer of Broken Walls PC's practice location on file with NPPES is 644 Independence Parkway, Chesapeake, VA 23320.
- What is Restorer of Broken Walls PC's phone number?
- The practice phone number listed in the NPPES registry for Restorer of Broken Walls PC is (757) 547-1811.
- Does Restorer of Broken Walls PC accept Medicare?
- Restorer of Broken Walls PC 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 Restorer of Broken Walls PC?
- The authorized official listed on Restorer of Broken Walls PC's NPPES record is Amanda Grizzard, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Restorer of Broken Walls PC's NPI active?
- Yes — Restorer of Broken Walls PC's NPI (1811080047) is active in the NPPES registry as of the last update on 2024-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.