SDHS COUNSELING & BEHAVIORAL SERVICES
NPI 1104069996
Clinic/Center - Federally Qualified Health Center (FQHC) in Victoria, VA
About Sdhs Counseling & Behavioral Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SDHS COUNSELING & BEHAVIORAL SERVICES (NPI 1104069996) is a healthcare organization registered as a federally qualified health center (fqhc) in Victoria, Virginia and active in the NPI registry since April 2009. The organization maintains a secondary practice location in Dinwiddie and lists April King, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sdhs Counseling & Behavioral Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Sdhs Counseling & Behavioral Services, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 23Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently 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 Southern Dominion Health System, Inc.'s NPI number?
The NPI number for Southern Dominion Health System, Inc. is 1104069996. It was assigned to this organization in the NPPES registry on April 9, 2009. The provider is doing business as Sdhs Counseling & Behavioral Services.
Where is Southern Dominion Health System, Inc. located?
Southern Dominion Health System, Inc. is located at 1508 K V Rd, Victoria, VA 23974. The listed phone number is (434) 696-2319.
What is Southern Dominion Health System, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Southern Dominion Health System, Inc. enrolled in Medicare?
Yes. Southern Dominion Health System, Inc. is registered in the Medicare PECOS enrollment system.
When is Southern Dominion Health System, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Virginia, Federally Qualified Health Center (FQHC)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southern Dominion Health System, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 6 Medicare specialties reassign their Medicare billing to Southern Dominion Health System, Inc.. 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 Nurse Practitioner (13), Family Practice (5) and Pediatric Medicine (2). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern Dominion Health System, Inc. was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sdhs Counseling & Behavioral Services · NPI 1104069996
Federally Qualified Health Center (FQHC) organization in Victoria, Virginia. Organization record, active in the CMS NPPES registry since April 9, 2009.
## Identity
- **NPI:** 1104069996 (Entity type: Organization)
- **Enumerated:** April 9, 2009
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Southern Dominion Health System, Inc.
- **Organization subpart:** Yes (part of Southern Dominion Health System, Inc.)
- **Authorized official:** April King, CEO
## Practice location
- **Address:** 1508 K V RD, Victoria, VA 23974-2624
- **Phone:** (434) 696-2319 · **Fax:** (434) 696-2326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Part A, Virginia, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 23 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Family Practice (5), Pediatric Medicine (2); 3 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1104069996/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104069996) · Data from the CMS NPPES public registry.