Piedmont Regional Community Services Board
Organization Active NPI Community/Behavioral Health Agency · Martinsville, VA
NPI 1699754010 · NPPES record last updated May 5, 2022
Key facts
- NPI
- 1699754010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 038 (VA)
- Legal business name
- PIEDMONT REGIONAL COMMUNITY SERVICES BOARD
- Practice address
- 24 Clay St
Martinsville, VA 24112-2810 - Phone
- (276) 632-7128
- Fax
- (276) 632-0127
- NPI assigned
- Jan 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Briam G Preston
- Title
- Executive Director
- Phone
- (276) 632-7128
Corporate family (same tax ID) 2
Practitioners 81
-
Ciera E Barth, LPC
-
Jessica Butler, LPC
-
Katie Wilson Conklin, LPC
-
Tosha Marie Foley, LPC
-
Donna Gravely, FNP-BC, CWON, CDE
-
Richard A Harris Jr., LPC
-
Janalyn T Hill, LPC
-
Amber Hunt, LCSW
-
Nikki Renee Jefferies, PMHNP
-
Erin H Jenkins, LPC
-
Amy Scearce Jennings, LPC
-
Teresa Jetmar, LPC
-
Tracy M Lange, MSN, FNP, PMHNP
-
Lisa Talbot Long, LCSW
-
Terri Mills, LPC
-
Kristi Barnes Monroe, PMHNP
-
Pernell Dean Nance, FNP-C, PMHNP-BC
-
Lisa L Onega, NP
-
Pravinchandra C Patel, M.D.
-
Lisa Price, LPC
-
Kevin Ratliff, LPC
-
Kimberley Redd, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090319000311 | VA | Part B Supplier - Clinic/Group Practice | 0345215208 |
Receives reassigned benefits from 64 practitioners Practice locations: Stuart, VA; Rocky Mount, VA; Martinsville, VA |
National Provider Directory
- Tax ID family
- Piedmont Cmnty SVC
Locations
213 E Main St
Martinsville, VA 24112
Phone (276) 632-4669
905 Memorial Blvd N
Martinsville, VA 24112
139 E Court St
Rocky Mount, VA 24151
Phone (540) 404-1189
30 Technology Dr
Rocky Mount, VA 24151
Phone (540) 483-0582
22280 Jeb Stuart Hwy
Stuart, VA 24171
Phone (276) 632-7128
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | 038 | VA | Yes |
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
24 Clay St
Martinsville, VA 24112-2810
Mailing address
24 Clay St
Martinsville, VA 24112-2810
Phone (276) 632-7128
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945221 | Medicaid | VA | |
| 1699754010 | Other | NPI |
Other names
- Piedmont Community Services
Other providers in Martinsville, VA
- Piedmont Diagnostic Radiology PC
- Piedmont Medical and Renal Associates
- Piedmont Podiatry Associates
- Piedmont Regional Community Services Board
- Piedmont Regional Community Services Board
- Piedmont United Family Services
- Piedmont Urology Associates, Inc.
- Piedmont Virginia Dental Health Foundation
- Alicia Pigg
- Tanya B Pizzullo
All providers in Martinsville, VA · Community/Behavioral Health Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.