Depaul Community Resources

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

02305001 Issued in VA

Legal business name

DEPAUL COMMUNITY RESOURCES

Practice address

5650 Hollins Rd
Roanoke, VA 24019-5056

Phone

(540) 265-8923

Fax

(540) 206-1007

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Renee Brown, LPC, CSAC

Title

Ceo

Phone

(540) 265-8923

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DePaul Family Services Former legal business name

Tax ID family

Depaul Community Resources3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Depaul Community Resources

  • Foster Care Agency
  • Roanoke, VA
  • NPI 1639240971
  NPD tax ID
• Depaul Family Services

  • Case Management Agency
  • Roanoke, VA
  • NPI 1568537595
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheena Flanner

  • Professional Counselor
  • Cedar Bluff, VA
  • NPI 1306509740
  NPD (past)
• Angela Phillips, LPC

  • Professional Counselor
  • Forest, VA
  • NPI 1891458634
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1063432995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 HOLLINS RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240195056",
            "telephone_number": "540-265-8923",
            "fax_number": "540-206-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 HOLLINS RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240195056",
            "telephone_number": "540-265-8923",
            "fax_number": "540-206-1007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Abingdon Pl",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242115197",
            "country_code": "US",
            "telephone_number": "276-623-0881",
            "fax_number": "276-623-0002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2677 Steelsburg Hwy Ste 10",
            "address_purpose": "LOCATION",
            "city": "Cedar Bluff",
            "state": "VA",
            "postal_code": "246097056",
            "country_code": "US",
            "telephone_number": "276-963-2360",
            "fax_number": "276-963-2363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 Carrington Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229011892",
            "country_code": "US",
            "telephone_number": "434-977-9847",
            "fax_number": "434-977-2809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4859 Waterlick Rd",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "VA",
            "postal_code": "245511696",
            "country_code": "US",
            "telephone_number": "434-455-3727",
            "fax_number": "434-455-2891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 N Franklin St",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240732953",
            "country_code": "US",
            "telephone_number": "540-381-1848",
            "fax_number": "540-381-5372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEPAUL COMMUNITY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-265-8923",
        "authorized_official_credential": "LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "02305001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004946413",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DePaul Family Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Catherine Ashley Dent, SLP
• Donald Kirk Dent II
• Donna S. Dent, LPC; LSATP
• Jessica Renee Dent, LPC
• Dental Professionals of Virginia, P.C.
• Depaul Community Resources
• Depaul Family Services
• Serge E Depret-Guillaume, M.D.
• Mark Derbyshire, LCSW
• Dermatology Associates of Roanoke

• All providers in Roanoke, VA
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.