Active NPI
Youth & Family Counseling Service, LLC
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Petersburg, VA
National Provider Identifier
1124197991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 843
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.