Otl Community Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OTL COMMUNITY SERVICES

Doing business as

Good Neighbor Intensive In Home Services, Inc.

Practice address

9201 Arboretum Pkwy Ste 300
North Chesterfield, VA 23236-5407

Phone

(855) 355-7001

Fax

(804) 251-0989

NPI assigned

Mar 1, 2007

Last updated

May 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hailey Mazzei

Title

Program Director

Phone

(804) 520-4600

Specialties & licenses 2

Addresses

Other names 1

• Good Neighbor Intensive In Home Services, Inc. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nakeema Patrick, LPC

  • Counselor
  • Lynchburg, VA
  • NPI 1316569106
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1295863090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 ARBORETUM PKWY STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365407",
            "telephone_number": "804-520-4600",
            "fax_number": "833-525-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 ARBORETUM PKWY STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365407",
            "telephone_number": "855-355-7001",
            "fax_number": "804-251-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "MAZZEI",
        "authorized_official_first_name": "HAILEY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-520-4600"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "74805001",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Neighbor Intensive In Home Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mojisola Olawunmi Osungbaro
• Magdalena Grace Otal
• Melisha Lanay Otero, LPC
• Marva Celestine Otey
• Otl Community Services (Good Neighbor Mental Health Support, Inc.)
• Otl Community Services (Good Neighbor Outpatient Services, Inc.)
• Otl Outpatient Services LLC
• Tori Donna Ottaviano, PT, DPT
• Trevor Dale Ottofaro, MD
• Outreach Counseling Services Inc

• 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 May 24, 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.