Active NPI
Destiny Services, Inc
- Community/Behavioral Health Agency
- Petersburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1322
- Legal business name
- DESTINY SERVICES, INC
- Practice address
- 1124 W Washington St
Petersburg, VA 23803-3921 - Phone
- (804) 919-4014
- Fax
- (804) 863-1695
- NPI assigned
- Oct 16, 2009
- Last updated
- Oct 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terrence Augustus Allen
- Title
- President
- Phone
- (804) 919-4014
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1322 | VA | Primary |
Addresses
Primary practice location
1124 W Washington St
Petersburg, VA 23803-3921
Mailing address
801 Kingsland Rd
Richmond, VA 23231-8342
Phone (804) 919-4014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1124 W Washington St
Petersburg, VA 23803
Phone (804) 919-4014
315 Brown St
Petersburg, VA 23803
Phone (804) 203-4477
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Psychiatry Physician
- Richmond, VA
- NPI 1902922503
-
- Rehabilitation Psychologist
- Petersburg, VA
- NPI 1952921397
-
- Professional Counselor
- Petersburg, VA
- NPI 1831550532
-
- Professional Counselor
- Petersburg, VA
- NPI 1184291684
-
- Professional Counselor
- Petersburg, VA
- NPI 1497322994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255651200000",
"number": "1972838449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 KINGSLAND RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232318342",
"telephone_number": "804-919-4014",
"fax_number": "804-863-1695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 W WASHINGTON ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238033921",
"telephone_number": "804-919-4014",
"fax_number": "804-863-1695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESTINY SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-16",
"last_updated": "2009-10-16",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "TERRENCE",
"authorized_official_middle_name": "AUGUSTUS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-919-4014",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "1322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Laura E. Diaz, MSN-FNP
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- Direct Anesthesia Partners LLC
- District 19 Community Services Board
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.