CENTRA HEALTH, INC COMMUNITY BASED MENTAL HEALTH PROGRAMS (NPI# 1861729998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861729998 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH, INC COMMUNITY BASED MENTAL HEALTH PROGRAMS |
| Practice Address |
35 Magnolia Sq Ste 7 Lexington VA 24450-3779 |
| Practice Telephone | 5405258447 |
| Mailing Telephone | 5405258447 |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |
| Authorized Official Name | CARLA WARNER (COORDINATOR) |
| Authorized Official Telephone | 5405258447 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
05205001 | VA | Ambulatory Health Care Facilities |
| Street Address |
35 MAGNOLIA SQ STE 7 |
| City | LEXINGTON |
| State | VA |
| Zip Code | 24450-3779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235667668 | Nicole Autumn Wilhelm | Behavior Technician | 35 Magnolia Sq Ste 7, Lexington, VA 24450-3779 | 2017-05-30 |
| 1699210385 | Sierra Morgan Knick-bradberry | Behavior Technician | 35 Magnolia Sq Ste 7, Lexington, VA 24450-3779 | 2017-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561887 | Molly Elizabeth Pallavicini | Counselor | Rockbridge Area Health Center, 25 Northridge Lane, Lexington, VA 24450 | 2019-04-26 |
| 1598213340 | Elizabeth Larock | Contractor | 712 N. Main Street, Lexington, VA 24450 | 2016-09-21 |
| 1861872343 | Dominique Boone Tarber | Psychologist | 309 Letcher Avenue, Virginia Military Institute, Lexington, VA 24450 | 2015-06-01 |
| 1407254147 | Americare Plus, LLC. | In Home Supportive Care | 155 South Main Street, Lexington, VA 24450 | 2014-12-11 |
| 1710242219 | Matthew Earle Bryant | Family Medicine | 146 S Main St Ste 3, Lexington, VA 24450 | 2012-07-10 |
| 1861778391 | Marco Giuliani | Specialist/Technologist | 508 Brooke Lane, Clarkson-mckenna Hall, Lexington, VA 24450 | 2011-10-28 |
| 1356668552 | Chad Joseph Kelland | Psychologist | 129 S Randolph St Ste 1, Lexington, VA 24450 | 2010-04-27 |
| 1972744779 | Kelly Lynne Mcmullen | Specialist/Technologist | 215 Cameron Hall, Virginia Military Institute, Lexington, VA 24450 | 2009-03-09 |
| 1669621835 | Rebecca Lowry | Specialist/Technologist | 200 Washington Ave, Lexington, VA 24450 | 2008-09-12 |
| 1205929114 | Scott Brian Dubit | Family Medicine | 650 N. Lee Highway, Suite 2, Lexington, VA 24450 | 2006-10-02 |
| Find all providers in zip 24450 | ||||
| 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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| 1154579050 | Family Care Center Clinic | Clinic/Center | 1135 Red Mile Pl, Lexington, KY 40504-1172 | 2008-09-04 |
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| 1306467147 | Shenandoah Creative Counseling for Children and Adolescents | Clinic/Center | 510 W Broad St Ste H, Waynesboro, VA 22980-4548 | 2020-05-04 |
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| 1366007460 | Absolute Mental Health Clinic LLC | Clinic/Center | 1303 Florida Ave, Woodbridge, VA 22191-3620 | 2019-05-03 |
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| 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.