DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES - NPI 1649209990

Q: What is Dickenson County Behavioral Health 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.

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About Dickenson County Behavioral Health Services NPPES

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

DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES (NPI 1649209990), doing business as Dickenson County Community Services Board, is a healthcare organization registered as a mental health (including community mental health center) in Clintwood, Virginia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists Kevin Mullins, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649209990

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameDICKENSON COUNTY BEHAVIORAL HEALTH SERVICES

Location Address440 FOX TOWN RDClintwood, VA 24228-5077

Mailing AddressPo Box 309Clintwood, VA 24228-0309 · (276) 926-1682 · Fax (276) 926-8134

Phone(276) 926-1682

Fax(276) 926-9179

Organization SubpartNo

Authorized OfficialKevin MullinsExecutive Director · (276) 926-1682

Enumeration DateJune 30, 2006

Last NPPES UpdateFebruary 28, 2022

NPPES CertifiedFebruary 28, 2022

✔ NPI 1649209990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

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

Taxonomy Code261QM0801X

License✔ Licensed in VA · 091-16-001

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 091-07-004 (VA)

Also ListedCase ManagementTaxonomy 251B00000X · License 091-16-001 (VA)

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License 091-01-001 (VA)

440 FOX TOWN RD, Clintwood, VA 24228

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Other Names 1

Former Legal Business NameDickenson County Community Services Board

Other Identifiers 5

Other324879VA · Trigon

Other542631VA · Value Options

Other542636VA · Value Options

Other385241VA · Trigon

Medicaid004945549VA

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 49D2198758

Dickenson County Behavioral Health Services · Clintwood, VA

Active · expires Nov 3, 2026

CLIA Number49D2198758

Laboratory TypeCommunity Mental Hlth Ctr

Certificate Effective DateNovember 4, 2024

Certificate Expiration DateNovember 3, 2026

Laboratory DirectorKevin Mullins

Laboratory Phone(276) 926-1682

Laboratory LocationDickenson County Behavioral Health Services440 Fox Town Road, Clintwood, VA 24228

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 6

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

ERIN MARIE JANOVEC LPC, CSAC

Counselor