Ervin's Village Family Support LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ERVIN'S VILLAGE FAMILY SUPPORT LLC

Practice address

10 E Church St Ste 505
Martinsville, VA 24112-6204

Phone

(434) 201-4911

Fax

(434) 888-8508

NPI assigned

Sep 6, 2022

Last updated

Sep 4, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

ERVIN'S VILLAGE LLCAs reported in NPPES

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

Authorized official

Name

Jacquese HintonNPI 1922999507

Title

VP of Operations

Phone

(434) 713-9946

Specialties & licenses 7

Addresses

Part of

Ervin's Village Family Support LLC

Locations

Practitioners 2

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.

• Jacquese Hinton, QMHP

  • Mental Health Counselor
  • Chatham, VA
  • NPI 1922999507
  NPD Authorized official
• Beverly L Cobbs, SUP-LCSW MSW MTS

  • Adult Mental Health Clinic/Center
  • Danville, VA
  • NPI 1902527385

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1427779800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E CHURCH ST STE 505",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241126204",
            "telephone_number": "434-201-4911",
            "fax_number": "434-888-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E CHURCH ST STE 505",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241126204",
            "telephone_number": "434-201-4911",
            "fax_number": "434-888-8508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8301 Martinsville Hwy",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245418609",
            "country_code": "US",
            "telephone_number": "434-201-4911",
            "fax_number": "434-888-8508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERVIN'S VILLAGE FAMILY SUPPORT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERVIN'S VILLAGE LLC",
        "enumeration_date": "2022-09-06",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "HINTON",
        "authorized_official_first_name": "JACQUESE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "434-713-9946"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.