Depaul Community Resources

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

DEPAUL COMMUNITY RESOURCES

Practice address

5650 Hollins Rd
Roanoke, VA 24019-5056

Phone

(540) 265-8923

Fax

(540) 265-5849

NPI assigned

Nov 10, 2006

Last updated

Apr 4, 2024By 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

Renee Brown, LPC, CSAC

Title

Ceo

Phone

(540) 265-8923

Specialties & licenses 14

Addresses

Other identifiers 10

Other names 1

• DePaul Family Services Former legal business name

Tax ID family

Depaul Community Resources3 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.

• Depaul Community Resources

  • Community/Behavioral Health Agency
  • Roanoke, VA
  • NPI 1063432995
  NPD tax ID
• Depaul Family Services

  • Case Management Agency
  • Roanoke, VA
  • NPI 1568537595
  NPD tax ID

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.

• Sheena Flanner

  • Professional Counselor
  • Cedar Bluff, VA
  • NPI 1306509740
  NPD (past)
• Angela Phillips, LPC

  • Professional Counselor
  • Forest, VA
  • NPI 1891458634
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1639240971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 HOLLINS RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240195056",
            "telephone_number": "540-265-8923",
            "fax_number": "540-206-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 HOLLINS RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240195056",
            "telephone_number": "540-265-8923",
            "fax_number": "540-265-5849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Abingdon Pl",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242115197",
            "country_code": "US",
            "telephone_number": "276-623-0881",
            "fax_number": "276-623-0002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Shawnee Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242192814",
            "country_code": "US",
            "telephone_number": "276-524-2033",
            "fax_number": "276-524-2044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 Carrington Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229011892",
            "country_code": "US",
            "telephone_number": "434-977-9847",
            "fax_number": "434-977-2809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2677 Steelsburg Hwy Ste 10",
            "address_purpose": "LOCATION",
            "city": "Cedar Bluff",
            "state": "VA",
            "postal_code": "246097056",
            "country_code": "US",
            "telephone_number": "276-963-2360",
            "fax_number": "276-963-2363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 N Franklin St",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240732953",
            "country_code": "US",
            "telephone_number": "540-381-1848",
            "fax_number": "540-381-5372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Ivy Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392339",
            "country_code": "US",
            "telephone_number": "540-712-2590",
            "fax_number": "540-712-2591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10640 Charter Hill Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "VA",
            "postal_code": "230057749",
            "country_code": "US",
            "telephone_number": "804-472-8659",
            "fax_number": "804-207-8747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Ivy Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392339",
            "country_code": "US",
            "telephone_number": "540-712-2599",
            "fax_number": "540-712-2591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 Main St",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "VA",
            "postal_code": "245722260",
            "country_code": "US",
            "telephone_number": "434-528-2538",
            "fax_number": "434-528-0837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4859 Waterlick Rd",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "VA",
            "postal_code": "245511696",
            "country_code": "US",
            "telephone_number": "434-455-3727",
            "fax_number": "434-455-2891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEPAUL COMMUNITY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-265-8923",
        "authorized_official_credential": "LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "02302006",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "02301001",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "02303001",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "02303002",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "02305001",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "02308001",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "02309001",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "02310001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004947215",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004947509",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945930",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010050391",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010050413",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010050383",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010050430",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010050367",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010050197",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010050359",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DePaul Family Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Donald Kirk Dent II
• Donna S. Dent, LPC; LSATP
• Jessica Renee Dent, LPC
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• Depaul Community Resources
• Depaul Family Services
• Serge E Depret-Guillaume, M.D.
• Mark Derbyshire, LCSW
• Dermatology Associates of Roanoke
• Dermatology Associates of Roanoke P C

• Foster Care Agency in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Foster Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.