Community Intervention Group, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

COMMUNITY INTERVENTION GROUP, LLC

Practice address

205A Temple Ave
Colonial Heights, VA 23834-2827

Phone

(804) 715-7022

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By 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

Lakeisha BranchNPI 1619515624

Title

Director

Phone

(804) 715-7022

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lakeisha Branch

  • Mental Health Counselor
  • South Chesterfield, VA
  • NPI 1619515624
  NPD Authorized official

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1740858836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 FOX HUNT TRL",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238032284",
            "telephone_number": "804-715-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205A TEMPLE AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342827",
            "telephone_number": "804-715-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INTERVENTION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-715-7022"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colonial Orthopaedics, Inc
• Columbia/HCA John Randolph, Inc. (Colonial Heights Surgery, a department of Tricities Hospital)
• Columbia/HCA John Randolph, Inc. (Colonial Heights Surgery Center)
• Commonwealth of Virginia State Board of Health (Colonial Heights City Health Department)
• Commonwealth Pediatrics PC
• Community Transitional Solutions, LLC
• Compatior Corporation
• Amber Cook, ATC
• Wali Abdul Cooper II
• Rebekkah G Corkey, DPT

• Counseling Psychologist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Counseling Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.