ELITE PSYCHOTHERAPY AND BEHAVIORAL HEALTH SERVICES, LLC
NPI 1780133280
Social Worker - Clinical in Richmond, VA

Q: What is Elite Psychotherapy And Behavioral Health Services, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since September 25, 2016

612 HULL ST STE 101A, RICHMOND, VA 23224(804) 351-5971(804) 351-5972 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2025, Sep 25, 2016 (2 updates tracked since 2016).

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About Elite Psychotherapy And Behavioral Health Services, Llc NPPES

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

ELITE PSYCHOTHERAPY AND BEHAVIORAL HEALTH SERVICES, LLC (NPI 1780133280) is a healthcare organization registered as a clinical in Richmond, Virginia and active in the NPI registry since September 2016. The organization lists Tina M. Fountain, Owner, as its authorized official.

NPPES Registry Identity

NPI1780133280

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameELITE PSYCHOTHERAPY AND BEHAVIORAL HEALTH SERVICES, LLC

Location Address612 HULL ST STE 101ARichmond, VA 23224-4180

Mailing Address3209 Oakington DrRichmond, VA 23231-7267 · (804) 677-0379 · Fax (804) 351-5972

Phone(804) 351-5971

Fax(804) 351-5972

Organization SubpartNo

Authorized OfficialTina M. FountainOwner · (804) 677-0379

Enumeration DateSeptember 25, 2016

Last NPPES UpdateFebruary 27, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2026

✔ NPI 1780133280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VA · 0904005723

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

612 HULL ST STE 101A, Richmond, VA 23224

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Psychotherapy And Behavioral Health Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elite Psychotherapy And Behavioral Health Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tina Fountain, LCSW

Clinical Social Worker

NPI 1417944992

612 HULL ST STE 101A
Richmond, VA 23224

(804) 351-5971

✔ PECOSSame address

Source: 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 Elite Psychotherapy And Behavioral Health Services, LLC's NPI number?

The NPI number for Elite Psychotherapy And Behavioral Health Services, LLC is 1780133280. It was assigned to this organization in the NPPES registry on September 25, 2016.

Where is Elite Psychotherapy And Behavioral Health Services, LLC located?

Elite Psychotherapy And Behavioral Health Services, LLC is located at 612 Hull St Ste 101A, Richmond, VA 23224. The listed phone number is (804) 351-5971.

What is Elite Psychotherapy And Behavioral Health Services, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Elite Psychotherapy And Behavioral Health Services, LLC enrolled in Medicare?

Yes. Elite Psychotherapy And Behavioral Health Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Psychotherapy And Behavioral Health Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Elite Psychotherapy And Behavioral Health Services, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elite Psychotherapy And Behavioral Health Services, LLC was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.