Henrico County

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

099 Issued in VA

Legal business name

HENRICO COUNTY

Practice address

10299 Woodman Rd
Glen Allen, VA 23060-4419

Phone

(804) 727-8500

Fax

(804) 727-8580

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Laura S. Totty

Title

Executive Director

Phone

(804) 727-8585

Specialties & licenses 1

Addresses

Other names 1

• HENRICO AREA MENTAL HEALTH & DEVELOPMENTAL SERVICES Doing business as

Tax ID family

Henrico County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Henrico Area Mental Health and Developmental Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Allen, VA
  • NPI 1659457927
  NPD tax ID
• Henrico County Public School

  • Local Education Agency (LEA)
  • Richmond, VA
  • NPI 1598834210
  NPD tax ID

Locations

Practitioners 1

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

• David Bruce Hughes, LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1023022126
  NPD (past)

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1912385642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10299 WOODMAN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604419",
            "telephone_number": "804-727-8500",
            "fax_number": "804-727-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10299 WOODMAN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604419",
            "telephone_number": "804-727-8500",
            "fax_number": "804-727-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRICO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "TOTTY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-727-8585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRICO AREA MENTAL HEALTH & DEVELOPMENTAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shabrial Henderson, LCSW
• Tracy Lee Henderson
• Hendrick B. Tafo-Tabue, DDS, PC
• Henrico Area Mental Health and Developmental Services
• Henrico Area Mental Heatlh and Developmental Services
• Kelsey Henry
• Jane-Anne Herkins, CCC-SLP
• Madison Kay Hernandez
• Christian Eduardo Herrera
• Samantha Ann Hess, M.S, CF-SLP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.