COUNTY OF LOUDOUN VIRGINIA NPI 1386753291

NPI Information

NPI: 1386753291
Provider Name: COUNTY OF LOUDOUN, VIRGINIA

Doing Business As: LOUDOUN COUNTY COMMUNITY SERVICES BOARD

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 49D2079507

Address:
102 HERITAGE WAY NE
SUITE 310
LEESBURG, VA
ZIP 20176
Phone: (703) 737-8677
Get Directions

COUNTY OF LOUDOUN, VIRGINIA is a mental health (including community mental health center) clinic center in Leesburg, VA. COUNTY OF LOUDOUN, VIRGINIA NPI is 1386753291. The provider is registered as an organization entity type.
The provider Is Doing Business As Loudoun County Community Services Board.

The provider's business location address is:

102 HERITAGE WAY NE
SUITE 310
LEESBURG, VA
ZIP 20176-544
Phone: (703) 737-8677
Fax: (703) 737-8676

The provider's authorized official is Margaret Graham .
The authorized official title is Agency Director and has the following contact phone number (703) 771-5406.

The CLIA number assigned to this NPI record is 49D2079507 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 1/26/2017.

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
1	251B00000X	Case Management		143	VIRGINIA	No
2	251C00000X	Day Training, Developmentally Disabled Services		143	VIRGINIA	No
3	251S00000X	Community/Behavioral Health		143	VIRGINIA	No
4	261QD1600X	Clinic/Center	Developmental Disabilities	143	VIRGINIA	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	143	VIRGINIA	Yes
6	261QR0400X	Clinic/Center	Rehabilitation	143	VIRGINIA	No
7	310500000X	Intermediate Care Facility, Mental Illness		143	VIRGINIA	No
8	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		143	VIRGINIA	No
9	320800000X	Community Based Residential Treatment Facility, Mental Illness		143	VIRGINIA	No
10	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	143	VIRGINIA	No
11	252Y00000X	Early Intervention Provider Agency		143	VIRGINIA	No

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
1	LCCB	OTHER	VIRGINIA	AMERIGROUP - VIRGINIA
2	004945140	MEDICAID	VIRGINIA
3	008743673	MEDICAID	VIRGINIA
4	C03212	MEDICARE PIN	VIRGINIA
5	187219	OTHER	VIRGINIA	ANTHEM OT
6	187220	OTHER	VIRGINIA	ANTHEM PT
7	004980433	MEDICAID	VIRGINIA
8	187217	OTHER	VIRGINIA	ANTHEM SLP
9	C03213	MEDICARE PIN	VIRGINIA

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: 5/5/2024

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