Organization Active NPI

Otl Community Services

Doing business as Good Neighbor Outpatient Services, Inc.

  • Professional Counselor
  • North Chesterfield, VA
National Provider Identifier
1679871784
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
OTL COMMUNITY SERVICES
Doing business as
Good Neighbor Outpatient Services, Inc.
Practice address
9201 Arboretum Pkwy Ste 300
North Chesterfield, VA 23236-5407
Phone
(855) 355-7001
Fax
(804) 251-0989
NPI assigned
Mar 14, 2011
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Erica Greene
Title
Ceo
Phone
(513) 884-8926

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

9201 Arboretum Pkwy Ste 300
North Chesterfield, VA 23236-5407

Mailing address

9201 Arboretum Pkwy Ste 300
North Chesterfield, VA 23236-5407
Phone (804) 520-4600

Other identifiers 2

IdentifierTypeStateIssuer
748-07-004MedicaidVA
748-07-004OtherVADBHDS

Other names 1

  • Good Neighbor Outpatient Services, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130528000210 VA Part B Supplier - Clinic/Group Practice 0941448211 Receives reassigned benefits from 11 practitioners
Practice locations: North Chesterfield, VA

National Provider Directory

National Provider Directory

Locations

798 Southpark Blvd
Ste 32
Colonial Heights, VA 23834
Phone (631) 935-4225

13354 Midlothian Tpke
Ste 100
Midlothian, VA 23113
Phone (804) 794-2444

7501 Boulder View Dr
Ste 601
North Chesterfield, VA 23225
Phone (804) 339-5027

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1679871784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 ARBORETUM PKWY STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365407",
            "telephone_number": "804-520-4600",
            "fax_number": "833-525-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 ARBORETUM PKWY STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365407",
            "telephone_number": "855-355-7001",
            "fax_number": "804-251-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-884-8926"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "748-07-004",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHDS",
            "identifier": "748-07-004",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Neighbor Outpatient Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.