Organization Active NPI

A Village Youth & Family Services Inc.

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1093138455
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A VILLAGE YOUTH & FAMILY SERVICES INC.
Practice address
2025 E Main St
Suite 104
Richmond, VA 23223-7069
Phone
(804) 225-0749
Fax
(804) 225-0753
NPI assigned
Jan 21, 2014
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Khidhra S Smith, LCSW
Title
Ceo
Phone
(804) 551-7363

Specialties & licenses 1

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

Addresses

Primary practice location

2025 E Main St
Suite 104
Richmond, VA 23223-7069

Mailing address

2025 E Main St Ste 7
Richmond, VA 23223-7069
Phone (804) 225-0749

Other names 1

  • Village behavioral Health Other name

National Provider Directory

National Provider Directory
Tax ID family
A Village Youth Family Services Inc3 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.

Locations

2025 E Main St
Ste 104
Richmond, VA 23223
Phone (804) 220-0433

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1093138455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E MAIN ST STE 7",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237069",
            "telephone_number": "804-225-0749",
            "fax_number": "804-225-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E MAIN ST",
            "address_2": "SUITE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237069",
            "telephone_number": "804-225-0749",
            "fax_number": "804-225-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A VILLAGE YOUTH & FAMILY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KHIDHRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-551-7363",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.