DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES
NPI 1649209990
Clinic/Center - Mental Health (Including Community Mental Health Center) in Clintwood, VA
NPI Status: Active since June 30, 2006
Contact Information
440 FOX TOWN RD
CLINTWOOD, VA
ZIP 24228
Phone: (276) 926-1682
Fax: (276) 926-9179
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 49D2198758
- CLIA Cert. Type: Other - COMMUNITY MENTAL HLTH CTR
- CLIA Exp. Date: 11-03-2026
About DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Dickenson County Behavioral Health Services, a provider established in Clintwood, Virginia operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1649209990 assigned on June 2006. The practitioner's primary taxonomy code is 261QM0801X with license number 091-16-001 (VA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's former legal business name is Dickenson County Community Services Board. The authorized official of this NPI record is Mr. Kevin Mullins Ma (Executive Director)
- NPI
- 1649209990
- Provider Legal Name
- DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES
- Other Organization Name
- DICKENSON COUNTY COMMUNITY SERVICES BOARD
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 440 FOX TOWN RD CLINTWOOD, VA 24228
- Location Phone
- (276) 926-1682
- Location Fax
- (276) 926-9179
- Mailing Address
- PO BOX 309 CLINTWOOD, VA 24228
- Mailing Phone
- (276) 926-1682
- Mailing Fax
- (276) 926-9179
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2006
- Last Update Date
- 02-28-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 091-16-001
- License State
- VA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 091-07-004 (VA) |
| 2 | 251B00000X | Agencies | Case Management | 091-16-001 (VA) |
| 3 | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
| 4 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 091-01-001 (VA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 324879 | OTHER (01) | VA | TRIGON |
| 542631 | OTHER (01) | VA | VALUE OPTIONS |
| 542636 | OTHER (01) | VA | VALUE OPTIONS |
| 385241 | OTHER (01) | VA | TRIGON |
| 004945549 | MEDICAID (05) | VA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2198758
- Facility Type
- Other - COMMUNITY MENTAL HLTH CTR
- Certificate Effective Date
- November 04, 2024
- Certificate Expiration Date
- November 03, 2026
- Laboratory Director
- KEVIN MULLINS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dickenson County Behavioral Health Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 2 | 0 | 9 | 9 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 4 | 0 | 18 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 4 + 0 + 1 + 8 + 9 + 1 + 8 + 24 = 80 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1649209990 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659735900 | BRANDON R BISE LPC Individual | Counselor (Professional) | 440 FOX TOWN RD CLINTWOOD, VA 24228 (276) 926-1680 |
| 1558833566 | BRITTNEY DANIELLE POWERS TURNER MED Individual | Counselor (Professional) | 440 FOX TOWN RD CLINTWOOD, VA 24228 (276) 926-1680 |
| 1720551120 | COLBY DEWAYNE BALL LPC Individual | Counselor (Professional) | 440 FOX TOWN RD CLINTWOOD, VA 24228 (276) 926-1680 |
| 1144836545 | ERIN MARIE JANOVEC LPC, CSAC Individual | Counselor | 440 FOX TOWN RD CLINTWOOD, VA 24228 (276) 926-1680 |
| 1639462260 | STARLA KISER M.D. Individual | Internal Medicine | 440 FOX TOWN RD CLINTWOOD, VA 24228 (276) 926-2554 |
| 1952139537 | JEFFREY MCKINLEY KENNEDY LPC Individual | Counselor (Professional) | 440 FOX TOWN RD CLINTWOOD, VA 24228 (276) 926-1680 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649209990, enumerated in the NPI registry as an "organization" on June 30, 2006
The provider is located at 440 Fox Town Rd Clintwood, Va 24228 and the phone number is (276) 926-1682
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 49D2198758 for a "other - community mental hlth ctr" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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