Raheim Tims

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0732010001 Issued in VA

Practice address

1808 Dublin St
Hopewell, VA 23860-6209

Phone

(804) 536-0105

NPI assigned

Dec 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Virginia Behavioral Health

  • Community/Behavioral Health Agency
  • Petersburg, VA
  • NPI 1639956667
  NPD Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1255100681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 RIVES RD STE A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059427",
            "telephone_number": "804-536-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 DUBLIN ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238606209",
            "telephone_number": "804-536-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMS",
        "first_name": "RAHEIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0732010001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilda Jo Tensen, M.D.
• Amanda Lynn Tharaldson, OTA
• The Better Youth Bureau, LLC
• Maria Kathleen Tiller, CPHT
• Cynthia Lee Timok, PMHNP
• Jasmary M Tineo
• TLC Home Health, Inc.
• Tmu Transportation Services
• Elizabeth Travers, RPH
• Tri-Cities Access, LLC

• Mental Health Counselor in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.