{"npi":"1780133280","type":"NPI-2","status":"active","name":{"display":"Elite Psychotherapy And Behavioral Health Services, LLC","other":[],"organization_name":"ELITE PSYCHOTHERAPY AND BEHAVIORAL HEALTH SERVICES, LLC","authorised_official":"Tina Fountain"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"VA","license":"0904005723"}]},"addresses":[{"purpose":"LOCATION","street_1":"612 HULL ST STE 101A","city":"RICHMOND","state":"VA","postal_code":"232244180","country_code":"US","phone":"8043515971","fax":"8043515972"},{"purpose":"MAILING","street_1":"3209 OAKINGTON DR","city":"RICHMOND","state":"VA","postal_code":"232317267","country_code":"US","phone":"8046770379","fax":"8043515972"}],"license":{"state":"VA","number":"0904005723"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20161228000733","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"VA","pac_id":"2769763044"}]},"enumeration_date":"2016-09-25","last_updated":"2026-02-27","_meta":{"source":"NPPES","snapshot_date":"2026-02-27","doc_url":"https://findmynpi.com/api"}}