DISTRICT 19 COMMUNITY SERVICES BOARD (NPI# 1669791984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669791984 |
| Entity Type | Organization |
| Organization Name | DISTRICT 19 COMMUNITY SERVICES BOARD |
| Practice Address |
502 Sadler Dr Emporia VA 23847 |
| Mailing Address |
502 Sadler Dr Emporia VA 23847-2746 |
| Practice Telephone | 8048628002 |
| Mailing Telephone | 8048628004 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |
| Authorized Official Name | MISS NATHELIA YVETTE WYCHE (RN) |
| Authorized Official Telephone | 8048628004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | VA | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | 0001107533 | VA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679510226 | District 19 Community Services Board | Public Health or Welfare | 5012 Selwood Rd, Richmond, VA 23234-4246 | 2006-06-01 |
| 1225094451 | District 19 Community Services Board | Early Intervention Provider Agency | 20 W Bank St, Suite 2, Petersburg, VA 23803-3279 | 2006-04-25 |
| 1669970646 | District 19 Community Services Board | Early Intervention Provider Agency | 20 W Bank St Ste 5, Petersburg, VA 23803-3279 | 2018-01-25 |
| 1790113280 | District 19 Community Services Board | Community/Behavioral Health | 232 Coppahaunk Ave, Waverly, VA 23890-5041 | 2013-10-22 |
| 1194760462 | District 19 Community Services Board | Social Worker | 215 W Atlantic St, Emporia, VA 23847-1223 | 2006-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DISTRICT 19 COMMUNITY SERVICES BOARD | 20 West Bank Street Ste 2, Petersburg, VA 23803-3279 |
| Street Address |
502 SADLER DR |
| City | EMPORIA |
| State | VA |
| Zip Code | 23847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689454 | Laniesha Stephens Dunn | Social Worker | 407 Halifax St Ste 3, Emporia, VA 23847 | 2018-05-18 |
| 1073016382 | Audrey O Brown | Private Vehicle | 2926 Slagles Road, Emporia, VA 23847 | 2018-03-13 |
| 1598280844 | Daisy's Transportation LLC | Driver | 710 N. Main Street, Emporia, VA 23847 | 2017-08-08 |
| 1336486836 | From Start 2 Finish Counseling Services, Inc | Community/Behavioral Health | 425d South Main Street, Emporia, VA 23847 | 2013-01-03 |
| 1316245681 | William Robert Shannonhouse Jr. | Pharmacist | 220 Market Drive, Emporia, VA 23847 | 2011-03-10 |
| 1740310143 | Harold J Neal, Jr. Dds, PC | Dentist | 508 Belfield Dr., Emporia, VA 23847 | 2007-03-06 |
| 1376637504 | Charles V Omick | Nurse Anesthetist, Certified Registered | 727 North Main Street, Emporia, VA 23847 | 2006-10-03 |
| 1669496030 | Prince Squire Medical Center PC | Family Medicine | 219 Weaver Avenue, Emporia, VA 23847 | 2006-07-27 |
| 1003838442 | Marcelin Medical Center | Clinic/Center | 137 Baker Sreet, Emporia, VA 23847 | 2006-07-24 |
| 1790740132 | John Michael Griffin | Psychologist | 307 B Dogwood Lane, Emporia, VA 23847 | 2006-04-19 |
| Find all providers in zip 23847 | ||||
| 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 |
|---|---|---|---|---|
| 1912406554 | Elite Family Counseling Services | Community/Behavioral Health | 401 Halifax St Ste 2a, Emporia, VA 23847-1711 | 2018-02-09 |
| 1437673613 | The Trio Consulting Group | Community/Behavioral Health | 90 Otterdam Rd, Emporia, VA 23847-6400 | 2017-07-31 |
| 1497202980 | S.t.a.a.n.d Youth Services, LLC | Community/Behavioral Health | 1510 Belmeadow Cir, Emporia, VA 23847-2702 | 2016-09-01 |
| 1336486836 | From Start 2 Finish Counseling Services, Inc | Community/Behavioral Health | 425d South Main Street, Emporia, VA 23847 | 2013-01-03 |
| 1093077315 | New Journey Family Services, LLC | Community/Behavioral Health | 156a Baker St, Emporia, VA 23847-1720 | 2012-06-12 |
| 1952676330 | Hope First LLC | Community/Behavioral Health | 215 Weaver Ave, Emporia, VA 23847-1248 | 2012-03-19 |
| 1003196379 | Second Chances Youth Services | Community/Behavioral Health | 139b Baker St, Emporia, VA 23847-1703 | 2011-08-18 |
| 1538396544 | Path To Recovery | Community/Behavioral Health | 1420 C of E Dr Ste 300, Emporia, KS 66801-2585 | 2009-06-17 |
| 1811146855 | Holistic Therapy | Community/Behavioral Health | 1101 Commercial St, Emporia, KS 66801-2989 | 2008-09-15 |
| 1154477933 | Mental Health Center of East Central Kansas | Community/Behavioral Health | 104 E 8th Ave, Emporia, KS 66801-2929 | 2007-01-26 |
| Find all providers in EMPORIA | ||||
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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.