NPIMap

Organization Active NPI

Youth Development Counseling Agency

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1215288071
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1492 Issued in VA
Legal business name
YOUTH DEVELOPMENT COUNSELING AGENCY
Practice address
5209 Nine Mile Rd
Richmond, VA 23223-3313
Phone
(804) 252-4118
Fax
(804) 200-5561
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Michael Mostafa Abdelmagid
Title
Ceo
Phone
(804) 252-4118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1492 VA Primary

Addresses

Primary practice location

5209 Nine Mile Rd
Richmond, VA 23223-3313

Mailing address

5209 Nine Mile Rd
Richmond, VA 23223-3313
Phone (804) 252-4118

Other names 1

  • Youth Development Counseling Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Youth Development Counseling Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1215288071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 NINE MILE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232233313",
            "telephone_number": "804-252-4118",
            "fax_number": "804-200-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 NINE MILE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232233313",
            "telephone_number": "804-252-4118",
            "fax_number": "804-200-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH DEVELOPMENT COUNSELING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "ABDELMAGID",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MOSTAFA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-252-4118"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Development Counseling Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 2012; 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.