J R Adult and Youth Mentoring

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

J R ADULT AND YOUTH MENTORING

Practice address

60 Helena LN
Shipman, VA 22971-2358

Phone

(434) 806-9836

NPI assigned

Jul 21, 2026

Last updated

Jul 21, 2026By 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

Mr. Lloyd Lewis Gray Jr.

Title

Ceo

Phone

(434) 806-9836

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1538080270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HELENA LN",
            "city": "SHIPMAN",
            "state": "VA",
            "postal_code": "229712358",
            "telephone_number": "434-806-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HELENA LN",
            "city": "SHIPMAN",
            "state": "VA",
            "postal_code": "229712358",
            "telephone_number": "434-806-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J R ADULT AND YOUTH MENTORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-806-9836",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afton Coach LLC.
• Luz Martha Callum, ED.D.
• Mary Ann Copson, CN, MA

• Community/Behavioral Health Agency in Shipman, VA
• Providers in Shipman, 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 Jul 21, 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.