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DISTRICT 19 COMMUNITY SERVICES BOARD
NPI 1225094451
Community/Behavioral Health in Petersburg, VA

Active since April 25, 2006
20 W BANK ST, SUITE 2, PETERSBURG, VA 23803(804) 862-8054(804) 863-1665 Get Directions Write a Review

NPPES record last updated: July 30, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About District 19 Community Services Board NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DISTRICT 19 COMMUNITY SERVICES BOARD (NPI 1225094451), doing business as District 19 Mental Health And Mental Retardation Services, is a healthcare organization registered as a community/behavioral health in Petersburg, Virginia and active in the NPI registry since April 2006. The organization lists Joseph E. Hubbard, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1225094451
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDISTRICT 19 COMMUNITY SERVICES BOARD
Location Address20 W BANK ST, SUITE 2Petersburg, VA 23803-3279
Mailing Address20 W Bank St, Suite 2Petersburg, VA 23803-3279 · (804) 862-8054 · Fax (804) 863-1665
Phone(804) 862-8054
Fax(804) 863-1665
Organization SubpartNo
Authorized OfficialJoseph E. HubbardExecutive Director · (804) 862-8054
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 30, 2009
✔ NPI 1225094451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCase ManagementTaxonomy 251B00000X
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
20 W BANK ST, Petersburg, VA 23803
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Other Names 1

Former Legal Business NameDistrict 19 Mental Health And Mental Retardation Services

Other Identifiers 19

Medicare PIN017112D13VA
Medicare PIN800001808VA
Medicaid4945280VA
Medicare PIN011451D13VA
Medicare PIN018450D13VA
Medicare PIN019421D13VA
Medicare PIN005784D13VA
Medicare PIN260003093VA
Medicare PIN800002562VA
Medicare PIN016457D13VA
Medicare PIN019262D13
Medicare PINC06113VA
Medicare PIN010331D13VA
Medicare PINMC10059VA
Medicare PIN008504D13VA
Medicare PIN014211D13VA
Medicare PIN019274D13VA
Medicare PINMC10055VA
Medicare PIN005438D13VA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COREENA ELEANOR BARNES
Licensed Practical Nurse
20 W BANK ST
PETERSBURG, VA 23803
Dinwiddie County (804) 862-8002
TONETTE S ROBERTSON LCSW
Social Worker (Clinical)
20 W BANK ST
PETERSBURG, VA 23803
Dinwiddie County (804) 862-8000
ASHELY RYAN LPC
Counselor (Professional)
20 W BANK ST, SUITE 5
PETERSBURG, VA 23803
Dinwiddie County (804) 863-1689
SANDRA LUCILE PAINTER CPHT
Pharmacy Technician
20 W BANK ST, SUITE 6
PETERSBURG, VA 23803
Dinwiddie County (804) 862-8002
YESENIA ADENT LPC
Counselor (Mental Health)
20 W BANK ST, SUITE 3
PETERSBURG, VA 23803
Dinwiddie County (804) 722-4299
RONALD SMITH PHD, LPC
Counselor (Professional)
20 W BANK ST
PETERSBURG, VA 23803
Dinwiddie County (804) 862-8023
SAMUEL J NORTHINGTON JR.
Counselor
20 W BANK ST
PETERSBURG, VA 23803
Dinwiddie County (804) 731-5570
KINEA SAVEDGE LPC
Counselor (Professional)
20 W BANK ST
PETERSBURG, VA 23803
Dinwiddie County (804) 862-8002

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 District 19 Community Services Board's NPI number?

The NPI number for District 19 Community Services Board is 1225094451. It was assigned to this organization in the NPPES registry on April 25, 2006. The provider was formerly known as District 19 Mental Health And Mental Retardation Services.

Where is District 19 Community Services Board located?

District 19 Community Services Board is located at 20 W Bank St Suite 2, Petersburg, VA 23803. The listed phone number is (804) 862-8054.

What is District 19 Community Services Board's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for District 19 Community Services Board was last updated on July 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.