SECOND CHANCES YOUTH SERVICES (NPI# 1427505379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427505379 |
| Entity Type | Organization |
| Organization Name | SECOND CHANCES YOUTH SERVICES |
| Other Organization Name | SECOND CHANCES COMPREHENSIVE SERVICES |
| Practice Address |
207 Business Park Dr Suite 201 Va Beach VA 23462-6536 |
| Practice Telephone | 7575317891 |
| Mailing Telephone | 7575317891 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |
| Authorized Official Name | MRS. TANIKKA LASHELLE MASON (CHIEF CLINICAL OFFICER) |
| Authorized Official Telephone | 8047331180 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1389-05-001 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 11245530500 | 05 | |
| VA | 1831420660 | 05 |
| Other Name | Type Code |
|---|---|
| Second Chances Comprehensive Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978674 | Second Chances Youth Services | Community/Behavioral Health | 5801 Allentown Rd Ste 308, Camp Springs, MD 20746-4566 | 2019-08-20 |
| 1003196379 | Second Chances Youth Services | Community/Behavioral Health | 139b Baker St, Emporia, VA 23847-1703 | 2011-08-18 |
| 1154861631 | Second Chances Youth Services | Community/Behavioral Health | 527 N Main St, Emporia, VA 23847-1235 | 2017-03-02 |
| 1326420571 | Second Chances Youth Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2002 Wakefield Ave, Petersburg, VA 23805-2112 | 2015-06-24 |
| 1174957591 | Second Chances Youth Services | Community/Behavioral Health | 2002 Wakefield Ave, Petersburg, VA 23805-2112 | 2013-08-22 |
| 1760755383 | Second Chances Youth Services | Community/Behavioral Health | 601 N Mechanic St, Suite 414, Franklin, VA 23851-1455 | 2012-02-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Second Chances Youth Services L.L.C. | 320 E. Broadway, Hopewell, Virginia 23860 |
| Street Address |
207 BUSINESS PARK DR SUITE 201 |
| City | VA BEACH |
| State | VA |
| Zip Code | 23462-6536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336531979 | Indpendent Voices Adult Livingllc | Community/Behavioral Health | 154 Newtown Rd, Suite B2-100, Va Beach, VA 23462-2406 | 2015-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637218 | Endurance Cousneling and Supervision Services,llc | Community/Behavioral Health | 324 Lynnhaven Dr, Hampton, VA 23666-2300 | 2020-10-20 |
| 1861090615 | Energy for Life, LLC | Community/Behavioral Health | 2600 Brownstone Cir, Williamsburg, VA 23185-8321 | 2020-10-14 |
| 1093313868 | Tri Counties Behavioral Health Services, LLC | Community/Behavioral Health | 1807 Piney Woods Road, Lawrenceville, VA 23868 | 2020-10-14 |
| 1275140626 | Savoy Wellness Center LLC | Community/Behavioral Health | 1209 N 32nd St, Richmond, VA 23223-6711 | 2020-09-29 |
| 1700493582 | Therapeutic Services of Virginia | Community/Behavioral Health | 101 Deep Creek Rd, Newport News, VA 23606-2219 | 2020-09-25 |
| 1801402995 | Strategic Therapy Associates, Inc. | Community/Behavioral Health | 150 W Main St Ste E, Wytheville, VA 24382-2376 | 2020-09-23 |
| 1396351193 | Maxim Healthcare Services Inc. | Community/Behavioral Health | 293 Independence Blvd Ste 400, Virginia Beach, VA 23462-5461 | 2020-09-17 |
| 1083228902 | Lr Counseling Services, LLC | Community/Behavioral Health | 5000 Owens Way, Apt. 622, Prince George, VA 23875 | 2020-09-08 |
| 1073127411 | Youth Outreach Services | Community/Behavioral Health | 7050 Lakota Dr Apt 301, Woodbridge, VA 22192-5392 | 2020-09-02 |
| 1053924803 | Foundation of Hope Mental Health Services LLC | Community/Behavioral Health | 857 Hardwood Dr, Chesapeake, VA 23320-9215 | 2020-08-30 |
| Find all providers with the same taxonomy | ||||
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| 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.