NPIMap

Organization Active NPI

Dominion Behavioral Healthcare

  • Mental Health Counselor
  • Mechanicsville, VA
National Provider Identifier
1528086238
Registry record updated Apr 9, 2013
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
6501 Mechanicsville Tpke
Suite 100
Mechanicsville, VA 23111-3698
Phone
(804) 270-1124
Fax
(804) 270-2090
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Ms. Dianne Zito 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 connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 0904000405 VA Primary

Addresses

Primary practice location

6501 Mechanicsville Tpke
Suite 100
Mechanicsville, VA 23111-3698

Mailing address

6501 Mechanicsville Tpke
Suite 100
Mechanicsville, VA 23111-3698
Phone (804) 270-1124

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

6501 Mechanicsville Tpke
Ste 100
Mechanicsville, VA 23111
Phone (804) 270-1124

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1528086238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 MECHANICSVILLE TPKE",
            "address_2": "SUITE 100",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113698",
            "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": "6501 MECHANICSVILLE TPKE",
            "address_2": "SUITE 100",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113698",
            "telephone_number": "804-270-1124",
            "fax_number": "804-270-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "ZITO",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904000405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.