Hanover County Board of Supervisors

Organization Active NPI Mental Health Counselor · Ashland, VA

NPI 1104858653 · NPPES record last updated Aug 6, 2026

Key facts

NPI
1104858653
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
HANOVER COUNTY BOARD OF SUPERVISORS
Practice address
12300 Washington Hwy
Ashland, VA 23005-7646
Phone
(804) 365-4222
Fax
(804) 365-4252
NPI assigned
Jul 7, 2006
Organization subpart
No

Authorized official

Name
Dr. Gabriella Caldwell-Miller, MDIV, PHD, LPC
Title
Executive Director
Phone
(804) 365-4289

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 1

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

Practitioners 104

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

View all 104

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2230325Hanover County Community Services Board
12300 Washington Highway, Ashland, VA 23005
Certificate of waiverJul 21, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040112000531 VA Part B Supplier - Clinic/Group Practice 8527968742 Receives reassigned benefits from 38 practitioners
Practice locations: Ashland, VA; Mechanicsville, VA

National Provider Directory

Tax ID family
Hanover Cty Board of SPVS (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

12300 Washington Hwy
Ashland, VA 23005-7646

Mailing address

12300 Washington Hwy
Ashland, VA 23005-7646
Phone (804) 365-4222

Other identifiers

IdentifierTypeStateIssuer
004945425MedicaidVA

Other names

  • HANOVER COUNTY COMMUNITY SERVICES Other name

Other providers in Ashland, VA

All providers in Ashland, VA · Mental Health Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.