Organization Active NPI

Kendall'S Independence and Developmental Services

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1104767730
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KENDALL'S INDEPENDENCE AND DEVELOPMENTAL SERVICES
Practice address
3900 Chamberlayne Ave
Richmond, VA 23227-4202
Phone
(804) 304-7014
NPI assigned
Apr 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Mr. Lamar Blizzard Blizzard, QMHP
Title
Program Director
Phone
(804) 304-7014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3900 Chamberlayne Ave
Richmond, VA 23227-4202

Mailing address

3900 Chamberlayne Ave
Richmond, VA 23227-4202
Phone (804) 304-7014

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1104767730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CHAMBERLAYNE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274202",
            "telephone_number": "804-304-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CHAMBERLAYNE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274202",
            "telephone_number": "804-304-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL'S INDEPENDENCE AND DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "BLIZZARD",
        "authorized_official_first_name": "LAMAR",
        "authorized_official_middle_name": "BLIZZARD",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-304-7014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Apr 6, 2026; 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.