Emh of Virginia, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMH OF VIRGINIA, LLC

Practice address

1503 Santa Rosa Rd RM 109
Henrico, VA 23229-5105

Phone

(804) 822-5660

NPI assigned

May 26, 2023

Organization subpart

No

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

Authorized official

Name

Steven Rivera

Title

Owner

Phone

(804) 822-5660

Specialties & licenses 1

Addresses

Other names 1

• Ellie Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

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

• Alexandra Michelle Bashkoff, MSW, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1033663083
  Medicare reassignment Care Compare group NPD
• Michelle Bey, LCSW, MSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1023471661
  Medicare reassignment Care Compare group NPD
• Ronnell Fercil Lewis, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
  • NPI 1710571955
  Medicare reassignment

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1821781865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 BETHESDA CT",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311347",
            "telephone_number": "804-822-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 SANTA ROSA RD RM 109",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232295105",
            "telephone_number": "804-822-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMH OF VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-822-5660"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emily Mangan, LPC, LLC
• Alisha S Engelbrecht, BT
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• Marla Estrada
• Sarrah Ethridge

• Clinical Social Worker in Henrico, VA
• Providers in Henrico, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.