CMS-1500 Box 24J / 33a • NPI
1265699870
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
1041C0700X (CMS 80)
Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical
Box 32 Service Location & ZIP+4
546 WALNUT GROVE DR, JARRATT, VA, 23867-8611
✓ 9-Digit EDI 837 ZIP+4 (23867-8611)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1265699870 (JACKSON FEILD HOMES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1265699870 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | JACKSON FEILD HOMES |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical NUCC Code: 1041C0700X (Social Worker, Clinical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 546 WALNUT GROVE DR, JARRATT, VA, 23867-8611 |
| Practice Telephone / Fax | Tel: (434) 634-3217 | Fax: (434) 348-3471 |
| Administrative Mailing Address | 546 WALNUT GROVE DR, JARRATT, VA, 23867-8611 |
| Enumeration & Last Sync | Enumerated: 2008-05-21 | CMS Record Updated: 2011-06-16 |
| Authorized Official | ROBERT CRANE (Chief Financial Officer) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (1041C0700X)
What Does Taxonomy Code 1041C0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1041C0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JACKSON FEILD HOMES)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101YP2500X — Counselor, ProfessionalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: VA | License: 278-05 | Primary: Secondary |
320800000X — Community Based Residential Treatment Facility, Mental IllnessPlain English: Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness | State: VA | License: 1376-05-001 | Primary: Secondary |
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: VA | License: Verified | Primary: Secondary |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: VA | License: 278-05 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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