Divine Minds LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE MINDS LLC

Practice address

13701 US Highway 29 Ste 3
Chatham, VA 24531-3611

Phone

(434) 429-7780

Fax

(434) 433-2063

NPI assigned

Aug 29, 2023

Last updated

Jun 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tenisha SmithNPI 1275215188

Title

Ceo

Phone

(434) 429-7780

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 4

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.

• Beverly L Cobbs, SUP-LCSW MSW MTS

  • Adult Mental Health Clinic/Center
  • Danville, VA
  • NPI 1902527385
  Medicare reassignment NPD
• Amanda Renee Jewell, PMHNP

  • Psychiatry Physician
  • Martinsville, VA
  • NPI 1053786202

  Community/Behavioral Health

  Medicare reassignment NPD
• Tenisha Smith

  • Community/Behavioral Health Agency
  • Chatham, VA
  • NPI 1275215188
  NPD Authorized official
• Jacquese Hinton, QMHP

  • Mental Health Counselor
  • Chatham, VA
  • NPI 1922999507
  NPD

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1972388775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 US HIGHWAY 29 STE 3",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245313611",
            "telephone_number": "434-429-7780",
            "fax_number": "434-433-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 US HIGHWAY 29 STE 3",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245313611",
            "telephone_number": "434-429-7780",
            "fax_number": "434-433-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TENISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-429-7780"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Grayson Cook, MSPT, OCS, CSCS
• Tanner Len Cooke, PT, DPT
• Jobina Crews
• Deborah S Crowe, MS
• Danville Diagnostic Imaging Center, LLC (Chatham Diagnostic Imaging Center)
• Dogwood Health & Physio, PLLC
• Doll's Medical Transport, LLC
• Anne Sours Evans
• Dorros Evans, COTA/L
• Find Your Way Counseling & Play Therapy Inc

• Community/Behavioral Health Agency in Chatham, VA
• Providers in Chatham, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.