ENVISION ONE, LLC, ARTS (NPI# 1841725926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841725926 |
| Entity Type | Organization |
| Organization Name | ENVISION ONE, LLC, ARTS |
| Practice Address |
15 Goodrich Ave Petersburg VA 23805-2119 |
| Practice Telephone | 8048628300 |
| Practice Fax Number | 8048628302 |
| Mailing Telephone | 8048628300 |
| Mailing Fax Number | 8048628302 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | ANGELA JONES (CEO) |
| Authorized Official Telephone | 8048628300 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENVISION ONE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
VA | Behavioral Health & Social Service Providers |
| Street Address |
15 GOODRICH AVE |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861796039 | Envision One | Community/Behavioral Health | 15 Goodrich Ave, Petersburg, VA 23805-2119 | 2011-01-03 |
| 1467800599 | Xiao Hong Jin Md Pllc | Clinic/Center | 15 Goodrich Ave, Petersburg, VA 23805-2119 | 2016-05-31 |
| 1548666704 | Envision One Mental Health Skill Building, LLC | Community/Behavioral Health | 15 Goodrich Ave, Petersburg, VA 23805-2119 | 2014-11-14 |
| 1336542596 | Envision One Outpatient Services, LLC | Counselor | 15 Goodrich Ave, Petersburg, VA 23805-2119 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195895 | Edgewood Group Family Services | Counselor | 135 S Adams St, Petersburg, VA 23803-4526 | 2020-05-11 |
| 1861055337 | Ashley Kawashima | Counselor | 100 Fram St., Petersburg, AK 99833 | 2019-04-19 |
| 1669983656 | Natocha E. Lyons X | Counselor | 202 2nd & Gjoa, Petersburg, AK 99833-0206 | 2017-10-17 |
| 1497273189 | Richard Justin Flick | Counselor | 14147 Russel Drive, Petersburg, OH 44454 | 2017-09-02 |
| 1144621376 | Daniel Dashner | Counselor | 201 North Nordic, Petersburg, AK 99833-1309 | 2014-09-08 |
| 1942479381 | Coretha Marie Claiborn | Counselor | 700 S. Sycamore Street, Suite 6, Petersburg, VA 23234 | 2008-02-29 |
| 1174690309 | Petersburg Mental Health Services, Inc. | Counselor | 201 North Nordic Drive, Petersburg, AK 99833-1309 | 2006-11-30 |
| 1003415886 | Titoni Levon Crenshaw | Counselor | 2825 S Crater Rd, Petersburg, VA 23805-2473 | 2020-10-22 |
| 1104486042 | Samaria M Lewis | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2019-06-13 |
| 1366982936 | Arsheia Jones | Counselor | 20 E Tabb St, Suite 100, Petersburg, VA 23803-4541 | 2017-03-02 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
Please comment or provide details below to improve the information on ENVISION ONE, LLC, ARTS.
| 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.