INTERCEPT YOUTH SERVICES, INC. (NPI# 1437250982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437250982 |
| Entity Type | Organization |
| Organization Name | INTERCEPT YOUTH SERVICES, INC. |
| Practice Address |
11961 Iron Bridge Rd Chester VA 23831-1458 |
| Mailing Address |
5511 Staples Mill Rd Suite 102 Richmond VA 23228-5445 |
| Practice Telephone | 8044258001 |
| Practice Fax Number | 8044258003 |
| Mailing Telephone | 8048641320 |
| Mailing Fax Number | 8048641323 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | DON KAMENCIK (CFO) |
| Authorized Official Telephone | 8048641320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 295-14-008 | VA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010075670 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598318107 | Intercept Youth Services, Inc. | Foster Care Agency | 307 W Main St Ste 102, Lebanon, VA 24266-4219 | 2019-07-23 |
| 1982264321 | Intercept Youth Services, Inc. | Foster Care Agency | 616 W Main St Ste A, Radford, VA 24141-1780 | 2019-06-18 |
| 1659931087 | Intercept Youth Services, Inc. | Foster Care Agency | 625 Piney Forest Rd Ste 105, Danville, VA 24540-2868 | 2019-06-18 |
| 1417514753 | Intercept Youth Services, Inc. | Foster Care Agency | 201 N Main St Ste 1101, Farmville, VA 23901-1300 | 2019-05-22 |
| 1609905678 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4220 Courthouse Rd, Chesterfield, VA 23832-7210 | 2007-03-05 |
| 1265533566 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 11301 Lucks Ln, Midlothian, VA 23114-1218 | 2006-09-26 |
| 1942301312 | Intercept Youth Services, Inc. | Community/Behavioral Health | 1700 Turner Rd, Richmond, VA 23225-6941 | 2006-09-26 |
| 1427159094 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 605 Calvert St, Staunton, VA 24401-4754 | 2006-09-26 |
| 1679674329 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3111 N Parham Rd, Richmond, VA 23294-4408 | 2006-09-26 |
| 1023119484 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3117 Skipwith Rd, Richmond, VA 23294-4133 | 2006-09-26 |
| Street Address |
11961 IRON BRIDGE RD |
| City | CHESTER |
| State | VA |
| Zip Code | 23831-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
| 1891332466 | Blossom Health Services LLC | Home Health | 11312 Ludgate Place, Chester, VA 23831 | 2019-12-03 |
| 1780144881 | Positive Life Behavioral Health Services | Community/Behavioral Health | 3740 West Hundred Road, Chester, VA 23831 | 2019-03-23 |
| 1093201766 | Susan Wade | Speech-Language Pathologist | The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 | 2018-07-06 |
| 1225530793 | Rachel Victoria Mullins | Speech-Language Pathologist | 5200 Ecoff Ave, Chester, VA 23831 | 2018-03-01 |
| 1194196923 | Elpidia Victoria Elliott | Occupational Therapist | 10600 Hamlin Way, Chester, VA 23831 | 2015-10-20 |
| 1558751750 | Welcome Home Family Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3931 Hamlin Creek Court, Chester, VA 23831 | 2015-01-27 |
| 1083019525 | Shwetha Rodrigues Dds PC | Preferred Provider Organization | 12517 Jefferson Davis Highway, Chester, VA 23831 | 2014-10-27 |
| 1659781631 | Advanced Orthopaedic Centers | Orthopaedic Surgery | 12200 Branders Creek Drive, Chester, VA 23831 | 2014-04-30 |
| Find all providers in zip 23831 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538507983 | Alc Youth & Family Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 14200 Kentwood Forest Dr, Chester, VA 23831-8029 | 2013-06-07 |
| 1447454509 | Intercept Shire House | Residential Treatment Facility, Emotionally Disturbed Children | 12016 Edenshire Rd, Chester, VA 23831-3723 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336619667 | The Discovery School of Virginia, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2697 Copper Mine Road, Dillwyn, VA 23936-2393 | 2018-11-29 |
| 1184102188 | Limitless Growth | Residential Treatment Facility, Emotionally Disturbed Children | 115 Reese Dr, Danville, VA 24540-1185 | 2018-08-01 |
| 1871099721 | Imagination LLC | Residential Treatment Facility, Emotionally Disturbed Children | 318 N Wilkinson Rd, Richmond, VA 23227-1631 | 2018-03-31 |
| 1245698935 | Summer House | Residential Treatment Facility, Emotionally Disturbed Children | 16056 Elderly Ln, Timberville, VA 22853-2922 | 2016-02-09 |
| 1194105346 | Tamara Doud | Residential Treatment Facility, Emotionally Disturbed Children | 165 Motoka Dr Apt 1, Newport News, VA 23602-4053 | 2015-06-03 |
| 1679953871 | Just Understanding My Priorities | Residential Treatment Facility, Emotionally Disturbed Children | 7109 Barry Rd, Alexandria, VA 22315-3408 | 2015-06-02 |
| 1366790107 | Hamlet House Youth Services, IIi LLC | Residential Treatment Facility, Emotionally Disturbed Children | 206 Carlstone Dr, Highland Springs, VA 23075-2503 | 2012-08-28 |
| 1417214149 | Turning Point Home for Boys, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4701 Stonehurst Dr, Woodbridge, VA 22192-5727 | 2012-04-19 |
| 1699046094 | Intercept Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 410 Adkins Rd, North Chesterfield, VA 23236-2833 | 2012-01-18 |
| 1851673230 | Nu-start Youth Intervention Services LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5039 Backlick Rd, Suite A, Annandale, VA 22003-6046 | 2011-09-13 |
| Find all providers with the same taxonomy | ||||
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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.