NPIMap

Organization Active NPI

Youth Development Counseling Agency, Inc.

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1104371350
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1492-03-001 Issued in VA
Legal business name
YOUTH DEVELOPMENT COUNSELING AGENCY, INC.
Practice address
5731 S Laburnum Ave
Richmond, VA 23231-4431
Phone
(804) 328-0200
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Mr. Michael Abdelmagid
Title
Owner
Phone
(804) 252-4118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1492-03-001 VA Primary

Addresses

Primary practice location

5731 S Laburnum Ave
Richmond, VA 23231-4431

Mailing address

5731 S Laburnum Ave
Richmond, VA 23231-4431
Phone (804) 328-0200

National Provider Directory

National Provider Directory
Tax ID family
Youth Development Counseling Agency3 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.

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1104371350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 S LABURNUM AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232314431",
            "telephone_number": "804-328-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 S LABURNUM AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232314431",
            "telephone_number": "804-328-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH DEVELOPMENT COUNSELING AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "ABDELMAGID",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-252-4118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1492-03-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 17, 2016; 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.