Rva Addiction Treatment Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RVA ADDICTION TREATMENT CENTER, LLC

Practice address

620 Moorefield Park Dr Ste 140
North Chesterfield, VA 23236-3692

Phone

(804) 719-1966

Fax

(804) 464-2449

NPI assigned

Dec 7, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Kai Marie Carter

Title

Administrative Assistant

Phone

(804) 719-1966

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Margaret Gravely Kellogg, LPC

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1023822889
  NPD
• Tanaysha Ebony Wilson, MSW, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1285279257
  NPD (past)

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1225634298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5971",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231120033",
            "telephone_number": "804-719-1966",
            "fax_number": "804-464-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MOOREFIELD PARK DR STE 140",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363692",
            "telephone_number": "804-719-1966",
            "fax_number": "804-464-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RVA ADDICTION TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "804-719-1966",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah A Rupp, CRNA
• Jamie Russ
• Claire Crimmings Russell, PHD
• Elizabeth R Russell, BA, BS
• Kennadi Kirsten Russell, RBT
• Rva Area Transportation LLC.
• Rva Behavioral Health Services LLC
• Rva Contemplative Counseling LLC
• Rvaeverybodyeats Transportation
• Natalie Ryan

• Community/Behavioral Health Agency in North Chesterfield, VA
• Providers in North Chesterfield, 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 Jul 15, 2024; 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.