NPIMap

Organization Active NPI

Divine Minds Youth Services

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1679174635
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DIVINE MINDS YOUTH SERVICES
Practice address
4020 Bolling Rd
Richmond, VA 23223-1149
Phone
(804) 833-4155
NPI assigned
Nov 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Mrs. Joy Monte ' Maples-ParhamNPI 1316545957
Title
Owner
Phone
(804) 833-4155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4020 Bolling Rd
Richmond, VA 23223-1149

Mailing address

4020 Bolling Rd
Richmond, VA 23223-1149
Phone (804) 833-4155

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1679174635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 BOLLING RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231149",
            "telephone_number": "804-833-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 BOLLING RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231149",
            "telephone_number": "804-833-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MINDS YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "MAPLES-PARHAM",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "MONTE '",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-833-4155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.