EASTERN SHORE BEHAVIORAL HEALTHCARE CENTER
NPI 1154411510
Counselor - Professional in Parksley, VA
About Eastern Shore Behavioral Healthcare Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTERN SHORE BEHAVIORAL HEALTHCARE CENTER (NPI 1154411510) is a healthcare organization registered as a professional in Parksley, Virginia and active in the NPI registry since October 2006. The organization lists James A Cannon, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 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)
Eastern Shore Behavioral Healthcare Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Eastern Shore Behavioral Healthcare Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 27Source: 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 Eastern Shore Community Mh Mr Sas Services Board's NPI number?
The NPI number for Eastern Shore Community Mh Mr Sas Services Board is 1154411510. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider is doing business as Eastern Shore Behavioral Healthcare Center.
Where is Eastern Shore Community Mh Mr Sas Services Board located?
Eastern Shore Community Mh Mr Sas Services Board is located at 19056 Greenbush Rd, Parksley, VA 23421. The listed phone number is (757) 665-1260.
What is Eastern Shore Community Mh Mr Sas Services Board's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Eastern Shore Community Mh Mr Sas Services Board enrolled in Medicare?
Yes. Eastern Shore Community Mh Mr Sas Services Board is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eastern Shore Community Mh Mr Sas Services Board?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 4 Medicare specialties reassign their Medicare billing to Eastern Shore Community Mh Mr Sas Services Board. 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 Mental Health Counselor (10), Clinical Social Worker (7) and Psychiatry (7). Of these, 4 practice at this address and 9 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 Eastern Shore Community Mh Mr Sas Services Board was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Eastern Shore Behavioral Healthcare Center · NPI 1154411510
Professional organization in Parksley, Virginia. Organization record, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1154411510 (Entity type: Organization)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Legal business name:** Eastern Shore Community Mh Mr Sas Services Board
- **Organization subpart:** No
- **Authorized official:** James Cannon, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 19056 GREENBUSH RD, Parksley, VA 23421
- **Phone:** (757) 665-1260 · **Fax:** (757) 665-4184
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (10), Clinical Social Worker (7), Psychiatry (7); 4 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1154411510/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2007
- **Other identifiers:** Medicare PIN C02848 (VA); Medicare PIN C05541 (VA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1154411510) · Data from the CMS NPPES public registry.