NPIMap

Organization Active NPI

Centra Health, Inc. Community Mental Health Programs

  • Adolescent and Children Mental Health Clinic/Center
  • Danville, VA
National Provider Identifier
1013244144
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
05202030 Issued in VA
Legal business name
CENTRA HEALTH, INC. COMMUNITY MENTAL HEALTH PROGRAMS
Practice address
4058 Franklin Tpke
Danville, VA 24540-5298
Phone
(540) 525-8447
NPI assigned
Nov 10, 2009
Last updated
Nov 10, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRA HEALTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carla Warner, LCSW
Title
Coordinator
Phone
(540) 525-8447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 05202030 VA Primary

Addresses

Primary practice location

4058 Franklin Tpke
Danville, VA 24540-5298

Mailing address

4058 Franklin Tpke
Danville, VA 24540-5298
Phone (540) 525-8447

National Provider Directory

National Provider Directory
Tax ID family
Centra Health Inc Ta WGRP37 organizations share this tax ID, including this one
Part of
Centra Health Inc Ta WGRP

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

4058 Franklin Tpke
Danville, VA 24540
Phone (540) 525-8447

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1013244144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 FRANKLIN TPKE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405298",
            "telephone_number": "540-525-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4058 FRANKLIN TPKE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405298",
            "telephone_number": "540-525-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRA HEALTH, INC. COMMUNITY MENTAL HEALTH PROGRAMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRA HEALTH, INC",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "540-525-8447",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "VA",
            "license": "05202030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.