Grace Youth Mentoring and Community Outreach Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRACE YOUTH MENTORING AND COMMUNITY OUTREACH INC.

Practice address

558 Denbigh Blvd Ste a
Newport News, VA 23608-4240

Phone

(757) 218-1918

Fax

(757) 210-4021

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Authorized official

Name

Charlene NewsomeNPI 1538941034

Title

President

Phone

(757) 344-3450

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Charlene Newsome, CPRS, QMHP

  • Peer Specialist
  • Newport News, VA
  • NPI 1538941034
  NPD Authorized official

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1114690047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 DENBIGH BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084240",
            "telephone_number": "757-218-1918",
            "fax_number": "757-210-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 DENBIGH BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084240",
            "telephone_number": "757-218-1918",
            "fax_number": "757-210-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE YOUTH MENTORING AND COMMUNITY OUTREACH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-344-3450"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Gould
• Amanda Lyn Grab, FNP-C
• Grace ABA LLC
• Grace and Growth Mental Wellness
• Grace Medical Transportation LLC
• Rebecca E. Grace, PT, DPT
• Trudyann Grace, LPC
• Alayzhia N Graham
• David Bolden Graham III
• Iesha Graham

• Community/Behavioral Health Agency in Newport News, VA
• Providers in Newport News, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.