DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES
NPI 1649209990
Clinic/Center - Mental Health (Including Community Mental Health Center) in Clintwood, VA
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
Specialties & Licenses 5
Other Names 1
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dickenson County Behavioral Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Dickenson County Behavioral Health Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, VAFrequently 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 Dickenson County Behavioral Health Services's NPI number?
The NPI number for Dickenson County Behavioral Health Services is 1649209990. It was assigned to this organization in the NPPES registry on June 30, 2006. The provider was formerly known as Dickenson County Community Services Board.
Where is Dickenson County Behavioral Health Services located?
Dickenson County Behavioral Health Services is located at 440 Fox Town Rd, Clintwood, VA 24228. The listed phone number is (276) 926-1682.
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.
Is Dickenson County Behavioral Health Services enrolled in Medicare?
Yes. Dickenson County Behavioral Health Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dickenson County Behavioral Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Dickenson County Behavioral Health Services, in Clinical Social Worker, Mental Health Counselor, Nurse Practitioner and Psychiatry. 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. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dickenson County Behavioral Health Services hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2198758) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Dickenson County Behavioral Health Services was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dickenson County Behavioral Health Services · NPI 1649209990
Mental Health (Including Community Mental Health Center) organization in Clintwood, Virginia. Organization record, active in the CMS NPPES registry since June 30, 2006.
## Identity
- **NPI:** 1649209990 (Entity type: Organization)
- **Enumerated:** June 30, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Kevin Mullins, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 440 FOX TOWN RD, Clintwood, VA 24228-5077
- **Phone:** (276) 926-1682 · **Fax:** (276) 926-9179
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (2), Mental Health Counselor (2), Nurse Practitioner (2); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2022
- **Other identifiers:** Other 324879 (VA); Other 542631 (VA); Other 542636 (VA); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649209990) · Data from the CMS NPPES public registry.