Organization Active NPI

Simple Intervention, LLC

  • Community/Behavioral Health Agency
  • Chesterfield, VA
National Provider Identifier
1043612104
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2548 Issued in VA
Legal business name
SIMPLE INTERVENTION, LLC
Practice address
9850 Lori Rd
Suite 101
Chesterfield, VA 23832-6758
Phone
(804) 621-4034
Fax
(804) 621-4091
NPI assigned
Sep 20, 2014
Organization subpart
Yes
Parent organization
HUDSON ENTERPRISE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Mr. Brandon C Hudson, BS
Title
Executive Director
Phone
(804) 621-4034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2548 VA Primary

Addresses

Primary practice location

9850 Lori Rd
Suite 101
Chesterfield, VA 23832-6758

Mailing address

PO Box 1330
Chesterfield, VA 23832-9103
Phone (804) 621-4034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1043612104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238329103",
            "telephone_number": "804-621-4034",
            "fax_number": "804-200-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 LORI RD",
            "address_2": "SUITE 101",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326758",
            "telephone_number": "804-621-4034",
            "fax_number": "804-621-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE INTERVENTION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUDSON ENTERPRISE, LLC",
        "enumeration_date": "2014-09-20",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-621-4034",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.