Aim Higher Supportive Services, Inc.
Organization Active NPI Counselor · Petersburg, VA
NPI 1902285174 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1902285174
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counselor 101Y00000X
- Legal business name
- AIM HIGHER SUPPORTIVE SERVICES, INC.
- Practice address
- 12 Goodrich Ave Ste B
Petersburg, VA 23805-2120 - Phone
- (804) 552-1397
- Fax
- (804) 895-7853
- NPI assigned
- May 21, 2015
- Organization subpart
- No
Authorized official
- Name
- Alberta Hill
- Title
- Coo
- Phone
- (804) 552-1397
National Provider Directory
Locations
12 Goodrich Ave
#B
Petersburg, VA 23805
Phone (804) 552-1397
1889 S Sycamore St
Petersburg, VA 23805
Phone (804) 552-1397
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | Yes | ||
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Professional Counselor |
101YP2500X | |||
| Exclusive Provider Organization | 302F00000X |
Addresses
Primary practice location
12 Goodrich Ave Ste B
Petersburg, VA 23805-2120
Mailing address
PO Box 396
Colonial Heights, VA 23834-0396
Phone (804) 517-8099
Other practice location 1
1889 S Sycamore St
Petersburg, VA 23805-2730
Phone (804) 552-1397
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30015117100003 | Medicaid | VA | |
| 7100678110 | Medicaid | KY |
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.