Aevum BH VA LLC
Organization Active NPI General Practice Physician · Richmond, VA
NPI 1225856008 · NPPES record last updated Jan 29, 2026
Key facts
- NPI
- 1225856008
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- AEVUM BH VA LLC
- Practice address
- 4403 Forest Hill Ave
Richmond, VA 23225-3241 - Phone
- (848) 210-0028
- NPI assigned
- Sep 30, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Levi Lipovenko, PSYD
- Title
- Ceo
- Phone
- (804) 446-1710
Practitioners 48
-
Adenike Abdulraheem, PMHNP
-
Daphne Allen, LCSW
-
Esmerlada Amos, LPC
-
Byra Ciccolo, MSW
-
Andrea C Clarke Uter, PMHNP-BC
-
Arielle Sonia Conteh, PMHNP-BC
-
Whitney Evans Gooch, LPC
-
Melissa Marie Hunt, MSW, LCSW
-
Anthony G Ladikos, LPC
-
Osita Mgbendi, DNP- PMHNP
-
Virgil D Perryman III, LCSW
-
Renimol Philip, DNP, PMHNP-BC, BSN
-
Andrew Sitton, LCSW
-
Nina S Davis, APRN PMHP-BC
-
Beatrice Onifade, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241113000945 | VA | Part B Supplier - Clinic/Group Practice | 3274067210 |
Receives reassigned benefits from 41 practitioners Practice locations: Amherst, VA; Bedford, VA; Chesapeake, VA; Dublin, VA; Daleville, VA; Wytheville, VA; Winchester, VA; Williamsburg, VA… |
| O20250402000412 | DC | Part B Supplier - Clinic/Group Practice | 3274067210 |
Receives reassigned benefits from 6 practitioners Practice locations: Alexandria, VA; Fairfax, VA; Arlington, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Psychologist |
103TC0700X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| General Practice Physician |
208D00000X | Yes | ||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
4403 Forest Hill Ave
Richmond, VA 23225-3241
Mailing address
440 Sylvan Ave Ste 240
Englewood Cliffs, NJ 07632-2700
Phone (804) 446-1710
Other names
- Aevum Behavioral Health
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2026. 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.