NPIMap

Organization Active NPI

Success in Mind of Virginia LLC

Doing business as Success Behavioral Health Services

  • Professional Counselor
  • Williamsburg, VA
National Provider Identifier
1952812810
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SUCCESS IN MIND OF VIRGINIA LLC
Doing business as
Success Behavioral Health Services
Practice address
5000 New Point Rd Ste 3202
Williamsburg, VA 23188-9423
Phone
(757) 903-2253
Fax
(757) 914-1461
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Dr. Douglas Allen Brown, MDNPI 1750322004
Title
Medical Director
Phone
(757) 645-3558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

5000 New Point Rd Ste 3202
Williamsburg, VA 23188-9423

Mailing address

5000 New Point Rd Ste 3202
Williamsburg, VA 23188-9423
Phone (757) 903-2253

Other names 1

  • Success Behavioral Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200521000601 VA Part B Supplier - Clinic/Group Practice 4880025162 Receives reassigned benefits from 4 practitioners
Practice locations: Williamsburg, VA

National Provider Directory

National Provider Directory

Locations

5000 New Point Rd
Ste 3202
Williamsburg, VA 23188
Phone (757) 903-2253

5000 New Point Rd
Ste 3201
Williamsburg, VA 23188
Phone (757) 645-3558

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1952812810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 NEW POINT RD STE 3202",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231889423",
            "telephone_number": "757-903-2253",
            "fax_number": "757-903-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 NEW POINT RD STE 3202",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231889423",
            "telephone_number": "757-903-2253",
            "fax_number": "757-914-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS IN MIND OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "757-645-3558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.