DOMINION BEHAVIORAL HEALTHCARE (NPI# 1841413184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841413184 |
| Entity Type | Organization |
| Organization Name | DOMINION BEHAVIORAL HEALTHCARE |
| Practice Address |
11551 Nuckols Rd Suite F Glen Allen VA 23059-5565 |
| Practice Telephone | 8043644400 |
| Practice Fax Number | 8043640120 |
| Mailing Telephone | 8043644400 |
| Mailing Fax Number | 8043640120 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIANNE Z HENSLEY (OWNER) |
| Authorized Official Telephone | 8042701124 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
VA | Behavioral Health & Social Service Providers | |
| X | 103T00000X | Psychologist | VA | Behavioral Health & Social Service Providers | |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144275603 | Dominion Behavioral Healthcare | Counselor | 5931 Harbour Park Drive, Midlothian, VA 23112 | 2006-05-23 |
| 1043262215 | Dominion Behavioral Healthcare | Social Worker | 703 N Courthouse Rd, Richmond, VA 23236-4069 | 2006-05-16 |
| 1528086238 | Dominion Behavioral Healthcare | Counselor | 6501 Mechanicsville Tpke, Suite 100, Mechanicsville, VA 23111-3698 | 2006-07-18 |
| 1427075449 | Dominion Behavioral Healthcare | Counselor | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2006-07-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Dominion Behavioral Healthcare of Chesterfield PC | 5931 Harbour Park Drive, Midlothian, Virginia 23112 |
| Virginia Business Entities | Dominion Behavioral Healthcare P.C. | 2305 N Parham Rd Suite 3, Richmond, Virginia 23229 |
| Street Address |
11551 NUCKOLS RD SUITE F |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23059-5565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255424206 | Keith Andrew Derco | Pediatrics | 11551 Nuckols Rd, Suite F, Glen Allen, VA 23059-5565 | 2006-10-02 |
| 1497382378 | Taylor Delaine Zuchowski | Dietitian, Registered | 11551 Nuckols Rd, Glen Allen, VA 23059-5565 | 2020-03-23 |
| 1407232770 | Short Pump Wellness Clinic, LLC | Family Medicine | 11551 Nuckols Rd, Suite C, Glen Allen, VA 23059-5565 | 2015-08-10 |
| 1316324726 | Christina Wical | Nurse Practitioner | 11551 Nuckols Rd, Suite C, Glen Allen, VA 23059-5565 | 2015-05-05 |
| 1417388588 | Associates In Pediatrics | Pediatrics | 11551 Nuckols Rd, Suite F, Glen Allen, VA 23059-5565 | 2013-11-27 |
| 1831459080 | Joanne Sylvia Lane | Pediatrics | 11551 Nuckols Rd, Suite F, Glen Allen, VA 23059-5565 | 2012-05-22 |
| 1871749655 | Respiratory Specialties Company Lc | Durable Medical Equipment & Medical Supplies | 11551 Nuckols Rd, Suite N, Glen Allen, VA 23059-5565 | 2008-08-13 |
| 1235320854 | Helen Habtemichael | Nurse Practitioner | 11551 Nuckols Rd, Suite C, Glen Allen, VA 23059-5565 | 2007-08-08 |
| 1225155781 | Associates In Pediatrics | Pediatrics | 11551 Nuckols Rd, Suite F, Glen Allen, VA 23059-5565 | 2007-03-22 |
| 1851422331 | Renita Walden Randolph | Dentist | 11551 Nuckols Rd, Suite A, Glen Allen, VA 23059-5565 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
| 1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
| 1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
| 1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
| 1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
| 1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
| 1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
| 1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
| Find all providers in zip 23059 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548678733 | Tonja Hooker | Counselor | 821 Brassie Ln Apt D, Glen Allen, VA 23059-7424 | 2014-07-31 |
| 1972934859 | Stephanie Ann Bruce | Counselor | 13100 Mountain Rd, Glen Allen, VA 23059-1734 | 2013-12-03 |
| 1649821521 | Refocus Counseling, LLC | Counselor | 10015 W Broad St, Glen Allen, VA 23060-6406 | 2019-09-23 |
| 1992174106 | Joshua Schubert | Counselor | 10299 Woodman Rd, Glen Allen, VA 23060-4419 | 2015-09-17 |
| 1568830875 | Marjorie Smith, LLC | Counselor | 3932 Springfield Rd, Glen Allen, VA 23060-4119 | 2015-09-03 |
| 1073815791 | Mike Walsh | Counselor | 10299 Woodman Rd, Glen Allen, VA 23060-4419 | 2010-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831247 | Erin Roberts | Counselor | 1845 Sag Harbor Ln, Fredericksburg, VA 22401-5083 | 2020-11-05 |
| 1124629407 | Rebecca Leigh Staines | Counselor | 4620 Lee Hwy Ste 217, Arlington, VA 22207-3400 | 2020-11-04 |
| 1366043671 | Holistically You Therapeutic Services, LLC | Counselor | 2227 Old Bridge Rd Unit 221, Woodbridge, VA 22192-3007 | 2020-11-03 |
| 1528669140 | Mishawn Glover | Counselor | 2020 S Washington Street, Alexandria, VA 22114 | 2020-11-02 |
| 1356941181 | Amy H Drescher LLC | Counselor | 3615 Atlantic Ave Apt 302, Virginia Beach, VA 23451-2749 | 2020-10-30 |
| 1679173603 | Tonya Lea Warman | Counselor | 1305 N 38th St, Richmond, VA 23223-7721 | 2020-10-28 |
| 1770183774 | Shero Counseling Agency | Counselor | 117 W 21st St Ste 215b, Norfolk, VA 23517-2246 | 2020-10-28 |
| 1629678735 | Stephanie Ellzey | Counselor | 4169 Virginia Beach Blvd Ste 150, Virginia Beach, VA 23452-1783 | 2020-10-28 |
| 1992304562 | Katrena Lashawn Ready | Counselor | 2521 Trotters Ln Apt 203-7, Midlothian, VA 23113-1490 | 2020-10-23 |
| 1922607977 | The Rivers of Hope Counseling Center LLC | Counselor | 43565 Ahlea Ln, South Riding, VA 20152-4800 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ALLEN |
| Zip Code | 23059 |
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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.