DISTRICT 19 COMMUNITY SERVICES BOARD NPI 1225094451

NPI Information

  • NPI: 1225094451
  • Provider Name: DISTRICT 19 COMMUNITY SERVICES BOARD
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Former Legal Business Name: DISTRICT 19 MENTAL HEALTH AND MENTAL RETARDATION SERVICES
  • Address: 20 W BANK ST
    SUITE 2
    PETERSBURG, VA
    ZIP 23803
  • Phone: (804) 862-8054

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NPI Details

DISTRICT 19 COMMUNITY SERVICES BOARD is a community behavioral health in Petersburg, 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. DISTRICT 19 COMMUNITY SERVICES BOARD NPI is 1225094451. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is District 19 Mental Health And Mental Retardation Services.

The provider's business location address is:

20 W BANK ST
SUITE 2
PETERSBURG, VA
ZIP 23803-279
Phone: (804) 862-8054
Fax: (804) 863-1665

The provider's authorized official is Joseph E. Hubbard .
The authorized official title is Executive Director and has the following contact phone number (804) 862-8054.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 7/30/2009.

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
1252Y00000XEarly Intervention Provider AgencyNo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthYes

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
1017112D13MEDICARE PINVIRGINIA
2800001808MEDICARE PINVIRGINIA
34945280MEDICAIDVIRGINIA
4011451D13MEDICARE PINVIRGINIA
5018450D13MEDICARE PINVIRGINIA
6019421D13MEDICARE PINVIRGINIA
7005784D13MEDICARE PINVIRGINIA
8260003093MEDICARE PINVIRGINIA
9800002562MEDICARE PINVIRGINIA
10016457D13MEDICARE PINVIRGINIA
11019262D13MEDICARE PIN
12C06113MEDICARE PINVIRGINIA
13010331D13MEDICARE PINVIRGINIA
14MC10059MEDICARE PINVIRGINIA
15008504D13MEDICARE PINVIRGINIA
16014211D13MEDICARE PINVIRGINIA
17019274D13MEDICARE PINVIRGINIA
18MC10055MEDICARE PINVIRGINIA
19005438D13MEDICARE PINVIRGINIA

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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