Organization Active NPI

Advocating for Peace, LLC

  • Community/Behavioral Health Agency
  • Henrico, VA
National Provider Identifier
1962084954
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ADVOCATING FOR PEACE, LLC
Practice address
2819 N Parham Rd Ste 260
Henrico, VA 23294-4425
Phone
(804) 219-9554
NPI assigned
Apr 28, 2021
Last updated
Jul 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2021

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

Authorized official

Name
Kenneth Pankey, B.A QMHP-A/CNPI 1861985806
Title
Owner/ QMHP-a
Phone
(804) 219-9554

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2819 N Parham Rd Ste 260
Henrico, VA 23294-4425

Mailing address

2819 N Parham Rd Ste 260
Henrico, VA 23294-4425
Phone (804) 219-9554

Other identifiers 1

IdentifierTypeStateIssuer
3485MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL henrico

National Provider Directory

National Provider Directory

Locations

2819 N Parham Rd
Ste 260
Henrico, VA 23294
Phone (804) 219-9554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625270400000",
    "number": "1962084954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 N PARHAM RD STE 260",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944425",
            "telephone_number": "804-219-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 N PARHAM RD STE 260",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944425",
            "telephone_number": "804-219-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATING FOR PEACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A",
        "authorized_official_last_name": "PANKEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/ QMHP-A",
        "authorized_official_telephone_number": "804-219-9554",
        "authorized_official_credential": "B.A QMHP-A/C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3485",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "henrico",
            "affiliation": "N",
            "address_1": "2819 N Parham Rd Ste 260",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232944425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; 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.