Envision One Mental Health Skill Building, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ENVISION ONE MENTAL HEALTH SKILL BUILDING, LLC

Practice address

15 Goodrich Ave
Petersburg, VA 23805-2119

Phone

(804) 862-8300

Fax

(804) 862-8302

NPI assigned

Nov 14, 2014

Last updated

Nov 14, 2014By 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

Mrs. Angela Jones, RN

Title

President/Ceo

Phone

(804) 862-8300

Specialties & licenses 1

Addresses

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.

• Angela Parham-Jones, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Jarratt, VA
  • NPI 1003672957
  NPD

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1548666704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GOODRICH AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052119",
            "telephone_number": "804-862-8300",
            "fax_number": "804-862-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GOODRICH AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052119",
            "telephone_number": "804-862-8300",
            "fax_number": "804-862-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION ONE MENTAL HEALTH SKILL BUILDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "804-862-8300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ende Medical Practice, LLP
• Frederick Ivan Ende, M.D.
• Mark Ende, M.D.
• Lois Engelberger, ANP
• Envision One
• Envision One Outpatient Services, LLC
• Envision One, LLC, Arts
• Ernest Jeter, Msed
• Sasa-Grae M Espino, MD
• Clemente Solante Estrera Jr., M.D.

• Community/Behavioral Health Agency in Petersburg, VA
• Providers in Petersburg, 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 Nov 14, 2014; 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.