DISTRICT 19 COMMUNITY SERVICE BOARD (NPI# 1013283738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013283738 |
| Entity Type | Organization |
| Organization Name | DISTRICT 19 COMMUNITY SERVICE BOARD |
| Practice Address |
20 W Bank St Suite 7 Petersburg VA 23803-3279 |
| Practice Telephone | 8048628054 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | JOSEPH HUBBARD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8048628054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0001122835 | VA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124347885 | District 19 Community Service Board | Community/Behavioral Health | 1308 Lemonwood Dr, Hopewell, VA 23860-7619 | 2010-05-20 |
| Street Address |
20 W BANK ST SUITE 7 |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-3279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225094451 | District 19 Community Services Board | Early Intervention Provider Agency | 20 W Bank St, Suite 2, Petersburg, VA 23803-3279 | 2006-04-25 |
| 1871190272 | Angel Howard | Social Worker | 20 W Bank St, Petersburg, VA 23803-3279 | 2020-10-08 |
| 1174135461 | Samuel J Northington Jr. | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2020-08-19 |
| 1346868767 | Jasmine Griffin | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2020-07-13 |
| 1104486042 | Samaria M Lewis | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2019-06-13 |
| 1730658154 | Deatrice Delk | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2018-11-14 |
| 1770059271 | Andrei Rodin | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2018-10-23 |
| 1174008619 | Ronald Smith Jr. | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2018-10-01 |
| 1619471448 | Torri Latrice White | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2018-03-19 |
| 1780184358 | Ronda Lynn Tate | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2018-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790176899 | Honest Living LLC | Clinic/Center | 1859 Pender Ave, Petersburg, VA 23803-4733 | 2015-02-10 |
| 1104436534 | Agape Angels Resoultion Services, LLC | Clinic/Center | 1430 Farmer St, Petersburg, VA 23803-3941 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709615 | Life Worth Living Counseling, Ltd. | Clinic/Center | 223 Albemarle Ave Sw, Roanoke, VA 24016-4716 | 2020-10-30 |
| 1477150068 | Premier Mental Health Support | Clinic/Center | 490 Piney Forest Rd, Danville, VA 24540-4060 | 2020-10-06 |
| 1720609837 | Healthy Mind Pllc | Clinic/Center | 6551 Continental St, Williamsburg, VA 23188-7586 | 2020-04-29 |
| 1225661978 | Cavcity Counseling Inc. | Clinic/Center | 1020 Carrington Pl Fl 2, Charlottesville, VA 22901-1891 | 2020-02-20 |
| 1942855622 | Destine for Greatness, LLC | Clinic/Center | 1035 Bryce Ln, Virginia Beach, VA 23464-4500 | 2019-08-08 |
| 1407400203 | 360 Counseling & Services | Clinic/Center | 5509 Townsbury Terrrace, Chesterfield, VA 23832-9256 | 2019-07-30 |
| 1710449327 | Kemet Health One LLC | Clinic/Center | 5413 Backlick Rd Ste A, Springfield, VA 22151-3915 | 2019-04-02 |
| 1134680796 | Your Path Counseling Center LLC | Clinic/Center | 104 N Railroad Ave Ste A, Ashland, VA 23005-1528 | 2019-03-27 |
| 1245797083 | Reboot LLC | Clinic/Center | 7006 Old Reflection Dr, Mechanicsville, VA 23111-4284 | 2019-02-28 |
| 1679040976 | Hidden Roots Mental Health LLC | Clinic/Center | 205 E Broadway Ste 200, Hopewell, VA 23860-2809 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
Please comment or provide details below to improve the information on DISTRICT 19 COMMUNITY SERVICE BOARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.