GOOCHLAND POWHATAN COMMUNITY SERVICES
NPI 1467448571
Clinic/Center - Mental Health (Including Community Mental Health Center) in Goochland, VA

Q: What is Goochland Powhatan Community Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since September 23, 2005

3058 RIVER RD W, GOOCHLAND, VA 23063(804) 556-5400(804) 556-5403 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2022, May 1, 2019, Dec 4, 2017 (3 updates tracked since 2017).

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About Goochland Powhatan Community Services NPPES

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

GOOCHLAND POWHATAN COMMUNITY SERVICES (NPI 1467448571) is a healthcare organization registered as a mental health (including community mental health center) in Goochland, Virginia and active in the NPI registry since September 2005. The organization lists Lester Saltzberg, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1467448571

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameGOOCHLAND POWHATAN COMMUNITY SERVICES

Location Address3058 RIVER RD WGoochland, VA 23063-3202

Mailing AddressPo Box 189Goochland, VA 23063-0189 · (804) 556-5400 · Fax (804) 556-5403

Phone(804) 556-5400

Fax(804) 556-5403

Organization SubpartNo

Authorized OfficialLester SaltzbergExecutive Director · (804) 556-5400

Enumeration DateSeptember 23, 2005

Last NPPES UpdateFebruary 9, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2022

✔ NPI 1467448571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in VA · 207

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

3058 RIVER RD W, Goochland, VA 23063

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Other Identifiers 5

Medicaid004945557VA

Medicaid004949919VA

Medicaid004978561VA

Medicaid004949927VA

Medicaid004948262VA

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 49D2116099

Goochland Powhatan Community Services · Goochland, VA

Expired · Jul 18, 2026

CLIA Number49D2116099

Laboratory TypeCommunity Clinic

Certificate Effective DateJuly 19, 2024

Certificate Expiration DateJuly 18, 2026

Laboratory DirectorJeffrey Buthe

Laboratory Phone(804) 556-5400

Laboratory LocationGoochland Powhatan Community Services3058 River Road West, Goochland, VA 23063

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

GRACE STAPLETON LCSW

Social Worker (Clinical)