INTERCEPT YOUTH SERVICES, INC. (NPI# 1598318107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598318107 |
| Entity Type | Organization |
| Organization Name | INTERCEPT YOUTH SERVICES, INC. |
| Other Organization Name | INTERCEPT HEALTH |
| Practice Address |
307 W Main St Ste 102 Lebanon VA 24266-4219 |
| Mailing Address |
5511 Staples Mill Rd Ste 102 Richmond VA 23228-5445 |
| Practice Telephone | 8044403700 |
| Practice Fax Number | 8044220840 |
| Mailing Telephone | 8044403700 |
| Mailing Fax Number | 8044220840 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | DIANE MICHELLE FERGUSON (BILLING MANAGER) |
| Authorized Official Telephone | 8046756042 |
| Is Organization Subpart | Y |
| Parent Organization Name | INTERCEPT YOUTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| Other Name | Type Code |
|---|---|
| Intercept Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982264321 | Intercept Youth Services, Inc. | Foster Care Agency | 616 W Main St Ste A, Radford, VA 24141-1780 | 2019-06-18 |
| 1659931087 | Intercept Youth Services, Inc. | Foster Care Agency | 625 Piney Forest Rd Ste 105, Danville, VA 24540-2868 | 2019-06-18 |
| 1417514753 | Intercept Youth Services, Inc. | Foster Care Agency | 201 N Main St Ste 1101, Farmville, VA 23901-1300 | 2019-05-22 |
| 1609905678 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4220 Courthouse Rd, Chesterfield, VA 23832-7210 | 2007-03-05 |
| 1265533566 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 11301 Lucks Ln, Midlothian, VA 23114-1218 | 2006-09-26 |
| 1942301312 | Intercept Youth Services, Inc. | Community/Behavioral Health | 1700 Turner Rd, Richmond, VA 23225-6941 | 2006-09-26 |
| 1427159094 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 605 Calvert St, Staunton, VA 24401-4754 | 2006-09-26 |
| 1679674329 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3111 N Parham Rd, Richmond, VA 23294-4408 | 2006-09-26 |
| 1023119484 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3117 Skipwith Rd, Richmond, VA 23294-4133 | 2006-09-26 |
| 1407957822 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 11622 Warwick Blvd, Newport News, VA 23601-2345 | 2006-09-26 |
| Street Address |
307 W MAIN ST STE 102 |
| City | LEBANON |
| State | VA |
| Zip Code | 24266-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982264321 | Intercept Youth Services, Inc. | Foster Care Agency | 616 W Main St Ste A, Radford, VA 24141-1780 | 2019-06-18 |
| 1659931087 | Intercept Youth Services, Inc. | Foster Care Agency | 625 Piney Forest Rd Ste 105, Danville, VA 24540-2868 | 2019-06-18 |
| 1417514753 | Intercept Youth Services, Inc. | Foster Care Agency | 201 N Main St Ste 1101, Farmville, VA 23901-1300 | 2019-05-22 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1639643794 | Embrace Foster Care, LLC | Foster Care Agency | 4099 Foxwood Drive, Suite 106, Virginia Beach, VA 23462-5222 | 2019-01-11 |
| 1508330697 | Embrace Foster Care, LLC | Foster Care Agency | 5014 Monument Avenue, Richmond, VA 23230-1800 | 2019-01-11 |
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1588131940 | Thrive Behavioral Health and Wellness, Inc | Foster Care Agency | 535 E Braddock Rd Ste A, Alexandria, VA 22314-2161 | 2018-10-24 |
| 1780187757 | Esther's Home LLC | Foster Care Agency | 3302 Campbell Dr, Alexandria, VA 22303-1108 | 2018-03-15 |
| 1689125767 | Virginia Baptist Children's Home and Family Services | Foster Care Agency | 107 Clearview Dr, Martinsville, VA 24112-1501 | 2016-10-24 |
| 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.