| Richmond Behavioral Health Authority | |
|
107 S 5th St Richmond VA 23219-3825 | |
| (804) 819-4000 | |
| (804) 819-4268 |
| Full Name | Richmond Behavioral Health Authority |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 107 S 5th St, Richmond, Virginia |
| Authorized Official Name and Position | John P Lindstrom (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8048195216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Behavioral Health Authority 107 S 5th St Richmond VA 23219-3825 Ph: (804) 819-4000 | Richmond Behavioral Health Authority 107 S 5th St Richmond VA 23219-3825 Ph: (804) 819-4000 |
| NPI Number | 1184715328 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Medicare PECOS PAC ID | 7810896370 |
|---|---|
| Medicare Enrollment ID | O20040103000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184715328 | NPI | - | NPPES |
| 4945255 | Medicaid | VA |
| Provider Name | Victoria Trent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154462166 PECOS PAC ID: 1153396825 Enrollment ID: I20040827000216 |
| Provider Name | Pearl J Bader |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720179534 PECOS PAC ID: 8123035912 Enrollment ID: I20060320000669 |
| Provider Name | Ronald Ray Alligood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407936800 PECOS PAC ID: 8921103854 Enrollment ID: I20070420000283 |
| Provider Name | Nenita O Estrera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508957762 PECOS PAC ID: 6204990187 Enrollment ID: I20090122000262 |
| Provider Name | Vasu Venkatachalam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831371855 PECOS PAC ID: 9335287739 Enrollment ID: I20091104000618 |
| Provider Name | Renuka Evani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487745642 PECOS PAC ID: 1951444975 Enrollment ID: I20100129000570 |
| Provider Name | Shridhar Venkatraman Bhat |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134158991 PECOS PAC ID: 8325171879 Enrollment ID: I20100804000271 |
| Provider Name | Ryan Hite |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013296573 PECOS PAC ID: 6901076538 Enrollment ID: I20110908002070 |
| Provider Name | Tracy Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346523156 PECOS PAC ID: 8921267915 Enrollment ID: I20120312000125 |
| Provider Name | Jacqueline M Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073614228 PECOS PAC ID: 1355505207 Enrollment ID: I20120606000167 |
| Provider Name | Mitchell Reid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710245030 PECOS PAC ID: 1052577301 Enrollment ID: I20120731000868 |
| Provider Name | Kristen C. Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861416919 PECOS PAC ID: 1456574326 Enrollment ID: I20140521001713 |
| Provider Name | Kathryn L Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831523109 PECOS PAC ID: 4082837950 Enrollment ID: I20140521001751 |
| Provider Name | Jeffrey Buthe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982011847 PECOS PAC ID: 3375854003 Enrollment ID: I20150622000989 |
| Provider Name | Kimberley Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033566070 PECOS PAC ID: 8224320734 Enrollment ID: I20160701000636 |
| Provider Name | Mary Alison Flint |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952759086 PECOS PAC ID: 8022302652 Enrollment ID: I20160804001696 |
| Provider Name | Bushra Mubashshir Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912282211 PECOS PAC ID: 4082924378 Enrollment ID: I20161123001836 |
| Provider Name | Kirby Patmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700154879 PECOS PAC ID: 4981838729 Enrollment ID: I20161207001540 |
| Provider Name | Katherine Faina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285658328 PECOS PAC ID: 5597047704 Enrollment ID: I20170124001427 |
| Provider Name | Jeanne Marie Pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720502438 PECOS PAC ID: 4082980818 Enrollment ID: I20171024001055 |
| Provider Name | Cherilyn Danielle Christie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962921247 PECOS PAC ID: 4284992355 Enrollment ID: I20171219000020 |
| Provider Name | Wendy Hendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033699293 PECOS PAC ID: 5597004879 Enrollment ID: I20190304002467 |
| Provider Name | Kimberly Ignace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477032282 PECOS PAC ID: 5597004564 Enrollment ID: I20190308002189 |
| Provider Name | Lindsey M Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598322919 PECOS PAC ID: 8022440965 Enrollment ID: I20191115000331 |
| Provider Name | Sheraz Riaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053607184 PECOS PAC ID: 0648565101 Enrollment ID: I20191121001062 |
| Provider Name | Katherine Brann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285295527 PECOS PAC ID: 9638502701 Enrollment ID: I20191203001540 |
| Provider Name | Macy D'elia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730539180 PECOS PAC ID: 8325382807 Enrollment ID: I20200326000004 |
| Provider Name | Debra Fleshman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508478710 PECOS PAC ID: 7719305713 Enrollment ID: I20200908001365 |
| Provider Name | Doris T Mbony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528326337 PECOS PAC ID: 9032539267 Enrollment ID: I20210714000816 |
| Provider Name | Rachelle Marie Ngo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346988698 PECOS PAC ID: 3173902301 Enrollment ID: I20220620000070 |
| Provider Name | Amanda Nicole Whitlow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801546031 PECOS PAC ID: 6901286103 Enrollment ID: I20220706001531 |
| Provider Name | Amanda Shore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063142495 PECOS PAC ID: 9436532082 Enrollment ID: I20220816000271 |
| Provider Name | Rhianna Elizabeth Beasley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972253581 PECOS PAC ID: 9032593231 Enrollment ID: I20220907003961 |
| Provider Name | Stephanie Buttner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427797646 PECOS PAC ID: 5395121305 Enrollment ID: I20220928002522 |
| Provider Name | Angela Harris-bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134566334 PECOS PAC ID: 6002281797 Enrollment ID: I20230411002217 |
| Provider Name | Keeley Grimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619656386 PECOS PAC ID: 9234587890 Enrollment ID: I20231121001771 |
| Provider Name | Alexander Hilert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710601927 PECOS PAC ID: 5799136107 Enrollment ID: I20240110002934 |
| Provider Name | Emma Greenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053173898 PECOS PAC ID: 9931544418 Enrollment ID: I20240225000059 |
| Provider Name | Lee Pelonero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265191977 PECOS PAC ID: 9638514938 Enrollment ID: I20240227000211 |
| Provider Name | Erin Lindsey Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578277463 PECOS PAC ID: 2860837093 Enrollment ID: I20240228000481 |
| Provider Name | Tressy J Bowe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063601516 PECOS PAC ID: 2466898382 Enrollment ID: I20240313002434 |
| Provider Name | Jillian Lynne Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649055054 PECOS PAC ID: 7214374438 Enrollment ID: I20240325000373 |
| Provider Name | Lucia Lynn Amalia Abbott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265129159 PECOS PAC ID: 3476991498 Enrollment ID: I20240409004085 |
| Provider Name | Shane Carrillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114453511 PECOS PAC ID: 1557631884 Enrollment ID: I20240416000642 |
| Provider Name | Sara Cathryn Hilleary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316596182 PECOS PAC ID: 5698114759 Enrollment ID: I20240423000005 |
| Provider Name | Jennifer Kocik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457575078 PECOS PAC ID: 1153762406 Enrollment ID: I20240516004299 |
| Provider Name | Jessica Yolanda Wade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447807391 PECOS PAC ID: 3779924022 Enrollment ID: I20240517000064 |
| Provider Name | Chaniqua Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851151625 PECOS PAC ID: 1759811003 Enrollment ID: I20250217000116 |
| Provider Name | Elethia Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114402427 PECOS PAC ID: 7214470657 Enrollment ID: I20250220000433 |
| Provider Name | Victoria Morgan Rogalski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841057726 PECOS PAC ID: 1951821800 Enrollment ID: I20250221000981 |
| Provider Name | Jacquetta Kierra Cobbs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194542878 PECOS PAC ID: 0547780140 Enrollment ID: I20250226002573 |
| Provider Name | Sherri Glover |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699513481 PECOS PAC ID: 0042730400 Enrollment ID: I20250228000854 |
| Provider Name | Taylor Kathryn Shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083449615 PECOS PAC ID: 6305367673 Enrollment ID: I20250304001547 |
| Provider Name | Donna Mcintosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679383830 PECOS PAC ID: 3274055603 Enrollment ID: I20250314002202 |
| Provider Name | Candice Bullock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093558488 PECOS PAC ID: 5597289512 Enrollment ID: I20250410002653 |
| Provider Name | Natalie S Roukous |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114749975 PECOS PAC ID: 4688199201 Enrollment ID: I20250416001914 |
Broad Rock Counseling And Training Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2545 Bellwood Road, Suite 112, Richmond, VA 23237 Phone: 804-275-9980 Fax: 804-275-9981 | |
Proactive Behavioral Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3018 W Clay St, Suite 204, Richmond, VA 23230 Phone: 804-447-4629 Fax: 804-447-4629 | |
Capstone Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1803 N 28th St, Richmond, VA 23223 Phone: 804-525-5386 Fax: 804-442-7069 | |
Brighter Life Family Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 E Broad St Ste 42, Richmond, VA 23219 Phone: 804-475-8324 | |
Rowe Counseling Services, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Brandon Rd Suite 117, Richmond, VA 23224 Phone: 804-677-1733 Fax: 804-230-1723 | |
Watchtower Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Semmes Ave Apt 613, Richmond, VA 23224 Phone: 804-929-8229 | |
You Matter Residential Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 S 5th St, Richmond, VA 23219 Phone: 804-447-6590 Fax: 804-447-3516 |