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

NPI Status: Active since September 25, 2016

Contact Information

612 HULL ST STE 101A
RICHMOND, VA
ZIP 23224
Phone: (804) 351-5971
Fax: (804) 351-5972

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  • Organization
  • Social Worker
  • Clinical

About ELITE PSYCHOTHERAPY AND BEHAVIORAL HEALTH SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Elite Psychotherapy And Behavioral Health Services, Llc, a provider established in Richmond, Virginia operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1780133280 assigned on September 2016. The practitioner's primary taxonomy code is 1041C0700X with license number 0904005723 (VA). The provider is registered as an organization and their NPI record was last updated April 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Tina Marie Fountain Lcsw (Owner/ceo)

NPI
1780133280
Provider Name
ELITE PSYCHOTHERAPY AND BEHAVIORAL HEALTH SERVICES, LLC
Entity Type
Organization
Location Address
612 HULL ST STE 101A RICHMOND, VA 23224
Location Phone
(804) 351-5971
Location Fax
(804) 351-5972
Mailing Address
3209 OAKINGTON DR RICHMOND, VA 23231
Mailing Phone
(804) 677-0379
Mailing Fax
(804) 351-5972
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2016
Last Update Date
04-08-2025
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A clinical social worker like Elite Psychotherapy And Behavioral Health Services, Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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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

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
0904005723
License State
VA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. TINA MARIE FOUNTAIN LCSW

Authorized Official Title
OWNER/CEO
Authorized Official Phone
(804) 677-0379

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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.
1780133280
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27160236216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 2 + 3 + 6 + 2 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1780133280 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417944992 TINA M. FOUNTAIN LCSW
Individual
Social Worker (Clinical)612 HULL ST STE 101A
RICHMOND, VA 23224
(804) 351-5971

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780133280, enumerated in the NPI registry as an "organization" on September 25, 2016

The provider is located at 612 Hull St Ste 101a Richmond, Va 23224 and the phone number is (804) 351-5971

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on September 25, 2016. 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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