INTERCEPT YOUTH SERVICES, INC. (NPI# 1609905678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609905678 |
| Entity Type | Organization |
| Organization Name | INTERCEPT YOUTH SERVICES, INC. |
| Other Organization Name | INTERCEPT VISION HOUSE |
| Practice Address |
4220 Courthouse Rd Chesterfield VA 23832-7210 |
| Mailing Address |
5511 Staples Mill Rd Ste 102 Richmond VA 23228-5445 |
| Practice Telephone | 8044978171 |
| Practice Fax Number | 8044978173 |
| Mailing Telephone | 8048641320 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | MR. DON KAMENCIK (CFO) |
| Authorized Official Telephone | 8048641320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 295-14-015 | VA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010393906 | 05 |
| Other Name | Type Code |
|---|---|
| Intercept Vision House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598318107 | Intercept Youth Services, Inc. | Foster Care Agency | 307 W Main St Ste 102, Lebanon, VA 24266-4219 | 2019-07-23 |
| 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 |
| 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 |
4220 COURTHOUSE RD |
| City | CHESTERFIELD |
| State | VA |
| Zip Code | 23832-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205331667 | Julie Christine Heckel | Social Worker | 4220 Courthouse Rd, Chesterfield, VA 23832-7210 | 2018-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019754 | Sandra Hill | Counselor | 6900 Mimms Dr, Chesterfield, VA 23832 | 2020-06-26 |
| 1285256222 | Robin Ratliff Jones | Counselor | 6801 Lucy Blvd., 92, Chesterfield Mental Health, Chesterfield, VA 23832 | 2020-05-13 |
| 1629616495 | Chantell Nicole Randolph | Technician | 6519 Brambleton Rd, Chesterfield, VA 23832 | 2019-12-12 |
| 1881244374 | Jessica G Black | Physical Medicine & Rehabilitation | 10300 Courthouse Rd, Chesterfield, VA 23832 | 2019-09-17 |
| 1467934828 | Lorien Wilder Lcsw LLC | Clinic/Center | 9844 Lori Road Suite 102, Chesterfield, VA 23832 | 2018-09-03 |
| 1902390933 | National Vision, Inc. | Technician/Technologist | 14609 Hancock Village Street, Chesterfield, VA 23832 | 2018-06-22 |
| 1659860245 | Kaitlyn Moore | Behavior Technician | 7807 Hampton Summit Ter, Chesterfield, VA 23832 | 2018-05-09 |
| 1205337417 | Vitalcare Family LLC | Family Medicine | 7300 Ashlake Parkway, Chesterfield, VA 23832 | 2018-02-22 |
| 1205200599 | Chippenham & Johnston-willis Hospitals, Inc. | Clinic/Center | 14720 Hancock Village Street, Chesterfield, VA 23832 | 2015-11-24 |
| 1265801823 | Village Counseling Services, LLC | Community/Behavioral Health | 7305 Hancock Village Drive, Suite 315, Chesterfield, VA 23832 | 2015-09-24 |
| Find all providers in zip 23832 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114068301 | Turning Point Boys Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3184 Hunts Mill Road, Chesterfield, SC 29709 | 2007-02-09 |
| 1780844076 | Intercept Youth Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 8401 Courthouse Rd, Chesterfield, VA 23832-6313 | 2008-06-11 |
| 1902907314 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3400 Newbys Bridge Rd, Chesterfield, VA 23832-7828 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336619667 | The Discovery School of Virginia, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2697 Copper Mine Road, Dillwyn, VA 23936-2393 | 2018-11-29 |
| 1184102188 | Limitless Growth | Residential Treatment Facility, Emotionally Disturbed Children | 115 Reese Dr, Danville, VA 24540-1185 | 2018-08-01 |
| 1871099721 | Imagination LLC | Residential Treatment Facility, Emotionally Disturbed Children | 318 N Wilkinson Rd, Richmond, VA 23227-1631 | 2018-03-31 |
| 1245698935 | Summer House | Residential Treatment Facility, Emotionally Disturbed Children | 16056 Elderly Ln, Timberville, VA 22853-2922 | 2016-02-09 |
| 1194105346 | Tamara Doud | Residential Treatment Facility, Emotionally Disturbed Children | 165 Motoka Dr Apt 1, Newport News, VA 23602-4053 | 2015-06-03 |
| 1679953871 | Just Understanding My Priorities | Residential Treatment Facility, Emotionally Disturbed Children | 7109 Barry Rd, Alexandria, VA 22315-3408 | 2015-06-02 |
| 1538507983 | Alc Youth & Family Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 14200 Kentwood Forest Dr, Chester, VA 23831-8029 | 2013-06-07 |
| 1366790107 | Hamlet House Youth Services, IIi LLC | Residential Treatment Facility, Emotionally Disturbed Children | 206 Carlstone Dr, Highland Springs, VA 23075-2503 | 2012-08-28 |
| 1417214149 | Turning Point Home for Boys, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4701 Stonehurst Dr, Woodbridge, VA 22192-5727 | 2012-04-19 |
| 1699046094 | Intercept Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 410 Adkins Rd, North Chesterfield, VA 23236-2833 | 2012-01-18 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 23832 |
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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.