Organization Active NPI

Youth & Family Counseling Service, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Petersburg, VA
National Provider Identifier
1124197991
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
843 Issued in VA
Legal business name
YOUTH & FAMILY COUNSELING SERVICE, LLC
Practice address
700 S Sycamore St # 201
Petersburg, VA 23803-5802
Phone
(804) 217-4806
Fax
(804) 655-6114
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Mr. Elliott D Cox, MSW
Title
Ceo
Phone
(804) 216-7047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 843 VA Primary

Addresses

Primary practice location

700 S Sycamore St # 201
Petersburg, VA 23803-5802

Mailing address

700 S Sycamore St Ste 2B
Petersburg, VA 23803-5803
Phone (804) 217-4806

Other names 1

  • Change Name: Youth A Family Counseling Services, LLC Other name

National Provider Directory

National Provider Directory

Locations

700 S Sycamore St
#201
Petersburg, VA 23803
Phone (804) 217-4806

1518 Willow Lawn Dr
Ste 201
Richmond, VA 23230

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1124197991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S SYCAMORE ST STE 2B",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035803",
            "telephone_number": "804-217-4806",
            "fax_number": "804-655-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S SYCAMORE ST # 201",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035802",
            "telephone_number": "804-217-4806",
            "fax_number": "804-655-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH & FAMILY COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-216-7047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Change Name: Youth A Family Counseling Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.