CHESTERFIELD COMMUNITY SERVICES BOARD - ICF PINE FOREST
NPI 1033397542
Intermediate Care Facility, Intellectual Disabilities in Chesterfield, VA
About Chesterfield Community Services Board - Icf Pine Forest NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHESTERFIELD COMMUNITY SERVICES BOARD - ICF PINE FOREST (NPI 1033397542) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Chesterfield, Virginia and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Kelly Fried, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chesterfield Community Services Board - Icf Pine Forest is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Chesterfield Community Services Board - Icf Pine Forest, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D1093235
Chesterfield Community Services Board · Chesterfield, VAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chesterfield Community Services Board - Icf Pine Forest's NPI number?
The NPI number for Chesterfield Community Services Board - Icf Pine Forest is 1033397542. It was assigned to this organization in the NPPES registry on February 6, 2008.
Where is Chesterfield Community Services Board - Icf Pine Forest located?
Chesterfield Community Services Board - Icf Pine Forest is located at 6801 Lucy Corr Ct, Chesterfield, VA 23832. The listed phone number is (804) 748-1227.
What is Chesterfield Community Services Board - Icf Pine Forest's specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
Is Chesterfield Community Services Board - Icf Pine Forest enrolled in Medicare?
Yes. Chesterfield Community Services Board - Icf Pine Forest is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chesterfield Community Services Board - Icf Pine Forest?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 3 Medicare specialties reassign their Medicare billing to Chesterfield Community Services Board - Icf Pine Forest. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (9), Psychiatry (5) and Nurse Practitioner (2). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Chesterfield Community Services Board - Icf Pine Forest hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D1093235) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Chesterfield Community Services Board - Icf Pine Forest was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Chesterfield Community Services Board - Icf Pine Forest · NPI 1033397542
Intermediate Care Facility, Intellectual Disabilities organization in Chesterfield, Virginia. Organization record, active in the CMS NPPES registry since February 6, 2008.
## Identity
- **NPI:** 1033397542 (Entity type: Organization)
- **Enumerated:** February 6, 2008
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Organization subpart:** No
- **Authorized official:** Kelly Fried, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 6801 LUCY CORR CT, Chesterfield, VA 23832-6657
- **Phone:** (804) 748-1227 · **Fax:** (804) 717-6659
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (9), Psychiatry (5), Nurse Practitioner (2); 6 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2020
- **Other identifiers:** Medicaid PENDING (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033397542) · Data from the CMS NPPES public registry.