FAMILY PRESERVATION SERVICES, INC. (NPI# 1275802480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275802480 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES, INC. |
| Practice Address |
5620 Smith Station Rd Fredericksburg VA 22407-9311 |
| Mailing Address |
10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 |
| Practice Telephone | 5407105810 |
| Practice Fax Number | 5407106447 |
| Mailing Telephone | 5407106085 |
| Mailing Fax Number | 5407106447 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |
| Authorized Official Name | MR. MICHAEL C FIDGEON (PRESIDENT) |
| Authorized Official Telephone | 5407106085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 158 02 029 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 158 02 029 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235791385 | Family Preservation Services, Inc. | Community/Behavioral Health | 59 John Lewis Rd, Fishersville, VA 22939-3414 | 2019-06-28 |
| 1770142994 | Family Preservation Services, Inc. | Community/Behavioral Health | 108 W Blue Ridge St, Stuart, VA 24171-1579 | 2019-06-11 |
| 1609434042 | Family Preservation Services, Inc. | Community/Behavioral Health | 155 Shady Elm Ln, Weber City, VA 24290-7299 | 2019-05-31 |
| 1477034999 | Family Preservation Services, Inc. | Community/Behavioral Health | 6339 Hurley Rd, Hurley, VA 24620-8601 | 2018-08-23 |
| 1386125805 | Family Preservation Services, Inc. | Community/Behavioral Health | 260 Advantage Dr, Tazewell, VA 24651-8551 | 2018-08-23 |
| 1740761261 | Family Preservation Services, Inc. | Community/Behavioral Health | 1300 Golden Wave Dr, Grundy, VA 24614-7070 | 2018-08-23 |
| 1962983650 | Family Preservation Services, Inc. | Community/Behavioral Health | 7802 Helen Henderson Hwy, Honaker, VA 24260-4226 | 2018-08-22 |
| 1306323225 | Family Preservation Services, Inc. | Community/Behavioral Health | 740 Figsboro Rd, Martinsville, VA 24112-6770 | 2018-07-24 |
| 1881104891 | Family Preservation Services, Inc. | Community/Behavioral Health | 816 E Bank St, Petersburg, VA 23803-3406 | 2017-10-04 |
| 1619374287 | Family Preservation Services, Inc. | Community/Behavioral Health | 58 Cedar Green Rd, Staunton, VA 24401-5423 | 2014-11-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Family Preservation Services, Inc. | P O Box 12925 , Tucson, AZ 85732 |
| Virginia Business Entity | Family Preservation Services, Inc. | 10304 SPOTSYLVANIA AVENUE SUITE 300, FREDERICKSBURG, VA 22408 |
| Street Address |
5620 SMITH STATION RD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22407-9311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746900 | Jennifer Nolan | Speech-Language Pathologist | 5620 Smith Station Rd, Fredericksburg, VA 22407-9311 | 2020-09-28 |
| 1508403718 | Susan Cruz | Social Worker | 5620 Smith Station Rd, Fredericksburg, VA 22407-9311 | 2019-12-06 |
| 1568929651 | Kelsey Carter | Speech-Language Pathologist | 5620 Smith Station Rd, Fredericksburg, VA 22407-9311 | 2019-02-25 |
| 1164936290 | Katlin Paige Canipe | Speech-Language Pathologist | 5620 Smith Station Rd, Fredericksburg, VA 22407-9311 | 2017-11-28 |
| 1730693847 | Susan Holloran | Speech-Language Pathologist | 5620 Smith Station Rd, Fredericksburg, VA 22407-9311 | 2017-11-28 |
| 1194159194 | Melissa Glass | Occupational Therapist | 5620 Smith Station Rd, Fredericksburg, VA 22407-9311 | 2013-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120596 | Nutrition for You, LLC | 1129 Heatherstone Drive, Fredericksburg, VA 22407 | 2020-10-08 | |
| 1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
| 1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
| 1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
| 1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
| 1881192342 | Alyssa Testa | Specialist/Technologist | 5219 Mcmanus Dr, Fredericksburg, VA 22407 | 2018-01-30 |
| 1437675725 | Jacqueline D. Turner | Driver | 7112 Sharon Rd, Fredericksburg, VA 22407 | 2017-08-17 |
| 1689199556 | Audrey Daniel | Driver | 10701 Leavells Road, Fredericksburg, VA 22407 | 2017-08-11 |
| 1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
| 1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
| Find all providers in zip 22407 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376104448 | Online Counseling Services of Virginia, LLC | Community/Behavioral Health | 22 Enchanted Oak Dr, Fredericksburg, VA 22405-5792 | 2019-06-27 |
| 1013400233 | Second Chances Comprehensive Services | Community/Behavioral Health | 4821 Carr Dr, Fredericksburg, VA 22408-2689 | 2018-06-12 |
| 1073001749 | Pathways To Life, Inc. | Community/Behavioral Health | 109 Olde Greenwich Dr Ste 101, Fredericksburg, VA 22408-4022 | 2018-04-27 |
| 1225417215 | Family Preservation Services, Inc | Community/Behavioral Health | 10304 Spotsylvania Ave, Suite 401, Fredericksburg, VA 22408-8602 | 2015-05-22 |
| 1295146868 | Family Preservation Services, Inc. | Community/Behavioral Health | 109 Olde Greenwich Dr, Suite 101, Fredericksburg, VA 22408-4022 | 2014-05-16 |
| 1992074108 | Family Preservation Services, Inc. | Community/Behavioral Health | 5995 Plank Rd, Fredericksburg, VA 22407-6231 | 2011-12-16 |
| 1457620668 | Family Preservation Services, Inc. | Community/Behavioral Health | 7320 Smith Station Rd, Fredericksburg, VA 22407-1738 | 2011-12-16 |
| 1013286483 | Family Preservation Services, Inc | Community/Behavioral Health | 3600 Lee Hill Drive, Fredericksburg, VA 22408 | 2011-12-14 |
| 1740565993 | Family Preservation Services, Inc | Community/Behavioral Health | 6230 Harrison Rd, Fredericksburg, VA 22407-6364 | 2011-10-19 |
| 1083993844 | Family Preservation Services, Inc | Community/Behavioral Health | 11108 Leavells Rd, Fredericksburg, VA 22407-5014 | 2011-08-11 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22407 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.