Northwestern Community Services Board
Organization Active NPI Community/Behavioral Health Agency · Front Royal, VA
NPI 1215930573 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1215930573
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- NORTHWESTERN COMMUNITY SERVICES BOARD
- Practice address
- 209 W Criser Rd
Ste 100
Front Royal, VA 22630-2360 - Phone
- (540) 636-2931
- Fax
- (540) 636-2933
- NPI assigned
- May 31, 2005
- Organization subpart
- No
Authorized official
- Name
- Ellen Degraff Harrison
- Title
- Ceo
- Phone
- (540) 434-1941
Corporate family (same tax ID) 1
Practitioners 67
-
Denise Marie Acker, LPC
-
Ashley Amber Bailey, MSW, LCSW
-
Megan F Click, LCSW
-
Danielle Renee Dietz, LPC
-
Jane Marie Fetterman, L.P.C.
-
Alyssa Jackson, LPC
-
Don D Lee, M.D.
-
Jagadamba Pandit, MD
-
Leigh Ann Rush, PMHNP
-
Elizabeth C Trefzger, M.D.
-
Hannah Williams, NP
-
Cherrica Lynelle Lindsay, APRN
-
Adrienne Friel Baker, LPC
-
Andrea J Bieber, LPC
-
Darlene Clark, LCSW
-
Jessica Coulson, LPC
-
Danette Gyovai Kesner, LCSW
-
Timothy D. May, M.A., L.P.C.
-
Suzanne Rea Nieves, LPC
-
Joshua L Riley, LPC
-
Brittani Rose, LCSW
-
David Smith, M.S., LPC MHSP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040312000681 | VA | Part B Supplier - Clinic/Group Practice | 2769371251 |
Receives reassigned benefits from 28 practitioners Practice locations: Woodstock, VA; Winchester, VA; Luray, VA; Front Royal, VA; Berryville, VA |
National Provider Directory
- Tax ID family
- Northwestern Community
Locations
309 W Main St
Berryville, VA 22611
Phone (540) 277-8080
209 W Criser Rd
Ste 300
Front Royal, VA 22630
Phone (540) 636-4250
209 W Criser Rd
Front Royal, VA 22630
Phone (540) 636-2931
209 W Criser Rd
Ste 100
Front Royal, VA 22630
Phone (540) 636-2931
136 General Dr
Ste 300
Luray, VA 22835
Phone (540) 743-4548
23 W Main St
Luray, VA 22835
Phone (540) 743-4548
158 Front Royal Pike
Ste 200
Winchester, VA 22602
Phone (540) 667-2809
158 Front Royal Pike
Ste 303
Winchester, VA 22602
Phone (540) 409-5254
480 W Jubal Early Dr
Ste 350
Winchester, VA 22601
Phone (540) 635-4804
494 N Main St
Ste 300
Woodstock, VA 22664
Phone (540) 459-5180
441 N Main St
Woodstock, VA 22664
Phone (540) 459-4946
494 N Main St
Woodstock, VA 22664
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | VA | ||
| Mental Health Counselor |
101YM0800X | VA | ||
| Professional Counselor |
101YP2500X | VA | ||
| Social Worker |
104100000X | VA | ||
| Clinical Social Worker |
1041C0700X | VA | ||
| Marriage & Family Therapist |
106H00000X | VA | ||
| Registered Nurse |
163W00000X | |||
| Licensed Practical Nurse |
164W00000X | |||
| Psychiatry Physician |
2084P0800X | |||
| Child & Adolescent Psychiatry Physician |
2084P0804X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Psychiatric/Mental Health Clinical Nurse Specialist |
364SP0808X |
Addresses
Primary practice location
209 W Criser Rd
Ste 100
Front Royal, VA 22630-2360
Mailing address
209 W Criser Rd
Ste 300
Front Royal, VA 22630-2360
Phone (540) 636-4250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215930573 | Medicaid | VA |
Other providers in Front Royal, VA
- Suzanne Rea Nieves
- Claudine Nigro
- Nirmal Kanal, MD PC
- Mark Noll Jr.
- Northwestern Community Services Board
- Jackie S O'Donnell
- Carol Baker O'Leary
- Old Fox Counseling, LLC
- Carol Byrd Olson
- Ora Et Labora Catholic Counseling LLC
All providers in Front Royal, VA · Community/Behavioral Health Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.