NORTHWESTERN COMMUNITY SERVICES BOARD NPI 1215930573

NPI Information

  • NPI: 1215930573
  • Provider Name: NORTHWESTERN COMMUNITY SERVICES BOARD
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 209 W CRISER RD
    STE 100
    FRONT ROYAL, VA
    ZIP 22630
  • Phone: (540) 636-2931

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NPI Details

NORTHWESTERN COMMUNITY SERVICES BOARD is a community behavioral health in Front Royal, VA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. NORTHWESTERN COMMUNITY SERVICES BOARD NPI is 1215930573. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

209 W CRISER RD
STE 100
FRONT ROYAL, VA
ZIP 22630-360
Phone: (540) 636-2931
Fax: (540) 636-2933

The provider's authorized official is Ellen Degraff Harrison .
The authorized official title is Ceo and has the following contact phone number (540) 434-1941.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 2/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)VIRGINIANo
2101YM0800XCounselorMental HealthVIRGINIANo
3101YP2500XCounselorProfessionalVIRGINIANo
4104100000XSocial WorkerVIRGINIANo
51041C0700XSocial WorkerClinicalVIRGINIANo
6106H00000XMarriage & Family TherapistVIRGINIANo
7163W00000XRegistered NurseNo
8164W00000XLicensed Practical NurseNo
92084P0800XPsychiatry & NeurologyPsychiatryNo
102084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
11251S00000XCommunity/Behavioral HealthYes
12364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11215930573MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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