Central Virginia Behavioral Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001731 Issued in VA

Legal business name

CENTRAL VIRGINIA BEHAVIORAL HEALTH LLC

Doing business as

Central Virginia Behavioral Health

Practice address

1213 N 24TH St
Richmond, VA 23223-5232

Phone

(804) 263-6403

NPI assigned

Jul 21, 2016

Last updated

Jul 21, 2016By 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. C Nicole Simmons-Jackson, MSW

Title

Cao

Phone

(804) 263-6403

Specialties & licenses 5

Addresses

Other names 1

• Central Virginia Behavioral Health Doing business as

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1629421946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 N 24TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235232",
            "telephone_number": "804-263-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 N 24TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235232",
            "telephone_number": "804-263-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VIRGINIA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMMONS-JACKSON",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "804-263-6403",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "001731",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "001731",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "VA",
            "license": "001731",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "001731",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "001731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Virginia Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Adult Day Healthcare Services
• Central Express LLC
• Central VA OB GYN Associates
• Central VA. Companions
• Central Virginia Associates of Surgery LLC
• Central Virginia Eye Specialists
• Central Virginia Health Network LC
• Central Virginia Healthcare Association
• Central Virginia Healthcare Association
• Central Virginia Home Care, LLC (CareFamily)

• Mental Health Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.