Organization Active NPI

Structured Living LLC

  • Community/Behavioral Health Agency
  • Mechanicsville, VA
National Provider Identifier
1760998496
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STRUCTURED LIVING LLC
Practice address
8500 Bell Creek Rd
Mechanicsville, VA 23116-3826
Phone
(804) 277-3635
NPI assigned
Dec 18, 2017
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Mr. Jamall Trimaine Minor
Title
Program Manager
Phone
(804) 252-2704

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2040-05-001 VA
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8500 Bell Creek Rd
Mechanicsville, VA 23116-3826

Mailing address

8500 Bell Creek Rd
Mechanicsville, VA 23116-3826
Phone (804) 277-3635

National Provider Directory

National Provider Directory

Locations

8500 Bell Creek Rd
Mechanicsville, VA 23116
Phone (804) 277-3635

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1760998496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 BELL CREEK RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163826",
            "telephone_number": "804-277-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 BELL CREEK RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163826",
            "telephone_number": "804-277-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUCTURED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "JAMALL",
        "authorized_official_middle_name": "TRIMAINE",
        "authorized_official_title_or_position": "PROGRAM   MANAGER",
        "authorized_official_telephone_number": "804-252-2704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "2040-05-001",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.