NPIMap

Organization Active NPI

Intercept Youth Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Roanoke, VA
National Provider Identifier
1649049792
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
INTERCEPT YOUTH SERVICES, INC.
Practice address
1301 3Rd St SW
Roanoke, VA 24016-5218
Phone
(540) 344-7700
NPI assigned
Dec 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Maria Elena Weaver
Title
Office Manager
Phone
(540) 523-8055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

1301 3Rd St SW
Roanoke, VA 24016-5218

Mailing address

5511 Staples Mill Rd Ste 200
Richmond, VA 23228-5445
Phone (540) 529-8543

Other names 2

  • Intercept Health Doing business as
  • Summit West Other name

National Provider Directory

National Provider Directory
Tax ID family
Intercept Youth Services Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

1301 3rd St SW
Roanoke, VA 24016
Phone (540) 344-7700

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1649049792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 STAPLES MILL RD STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285445",
            "telephone_number": "540-529-8543",
            "fax_number": "540-400-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 3RD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165218",
            "telephone_number": "540-344-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCEPT YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-523-8055"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intercept Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit West",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.