NPIMap

Organization Active NPI

Dominion Behavioral Healthcare

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1427075449
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0904000405 Issued in VA
Legal business name
DOMINION BEHAVIORAL HEALTHCARE
Practice address
2301 N Parham Rd Ste 5
Richmond, VA 23229-3171
Phone
(804) 270-1124
Fax
(804) 270-2090
NPI assigned
Jul 16, 2006
Last updated
Nov 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Ms. Dianne Zitto Hensley, LCSWNPI 1427099837
Title
Owner
Phone
(804) 270-1124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0904000405 VA Primary

Addresses

Primary practice location

2301 N Parham Rd Ste 5
Richmond, VA 23229-3171

Mailing address

2301 N Parham Rd Ste 5
Richmond, VA 23229-3171
Phone (804) 270-1124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051031000975 VA Part B Supplier - Clinic/Group Practice 6709803570 Receives reassigned benefits from 32 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Richmond, VA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dominion Behavioral Healthcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2305 N Parham Rd
Ste 3
Richmond, VA 23229
Phone (804) 270-1124

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1427075449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N PARHAM RD STE 5",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232293171",
            "telephone_number": "804-270-1124",
            "fax_number": "804-270-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N PARHAM RD STE 5",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232293171",
            "telephone_number": "804-270-1124",
            "fax_number": "804-270-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "ZITTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-270-1124",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904000405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.