CENTRA HEALTH, INC. COMMUNITY BASED MENTAL HEALTH PROGRAMS (NPI# 1073750030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073750030 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH, INC. COMMUNITY BASED MENTAL HEALTH PROGRAMS |
| Practice Address |
3418 Orange Ave Ne Community Based Mental Health Programs-carla Warner Roanoke VA 24012-6451 |
| Mailing Address |
3300 Rivermont Ave Community Based Mental Health Programs-carla Warner Lynchburg VA 24503-2030 |
| Practice Telephone | 5405258447 |
| Practice Fax Number | 5403425395 |
| Mailing Telephone | 5405258447 |
| Mailing Fax Number | 5403425395 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |
| Authorized Official Name | CARLA WARNER (COORDINATOR) |
| Authorized Official Telephone | 5405258447 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRA HEALTH., INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457598401 | Centra Health, Inc. Community Based Mental Health Programs | Clinic/Center | 3024 Forest Hills Cir, Community Based Mental Health Programs-carla Warner, Lynchburg, VA 24501-2312 | 2009-01-13 |
| Street Address |
3418 ORANGE AVE NE COMMUNITY BASED MENTAL HEALTH PROGRAMS-CARLA WARNER |
| City | ROANOKE |
| State | VA |
| Zip Code | 24012-6451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1770019622 | Eisa Jawad Abu Munshar | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-05-11 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1740638220 | Kevin E Steinberger | Physical Therapist | 2730 Forest Oak Dr, Roanoke, VA 24012 | 2016-05-25 |
| 1740637883 | Professional Health Care Services, Inc. | In Home Supportive Care | 367 Hershberger Rd., Nw, Roanoke, VA 24012 | 2016-05-18 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1518223916 | Katherine Rash | Social Worker | 3003 Hollins Road, Roanoke, VA 24012 | 2012-04-10 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
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| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1174146708 | Nova Telemental Health | Clinic/Center | 14012 Willet Way, Gainesville, VA 20155-5915 | 2020-05-18 |
| 1659993731 | Sandstone Care Virginia, LLC | Clinic/Center | 11415 Isaac Newton Sq S, Reston, VA 20190-5005 | 2020-05-12 |
| 1306467147 | Shenandoah Creative Counseling for Children and Adolescents | Clinic/Center | 510 W Broad St Ste H, Waynesboro, VA 22980-4548 | 2020-05-04 |
| 1801449855 | Amazing Counseling LLC | Clinic/Center | 2428 Windy Pines Bnd, Virginia Beach, VA 23456-3954 | 2019-07-18 |
| 1366007460 | Absolute Mental Health Clinic LLC | Clinic/Center | 1303 Florida Ave, Woodbridge, VA 22191-3620 | 2019-05-03 |
| 1912468190 | Village Therapeutic Mentoring Services LLC | Clinic/Center | 1 W Cary St, Richmond, VA 23220-5609 | 2019-03-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.