THE WELLNESS GROUP YOUTH & FAMILY SERVICES, INC. (NPI# 1114296571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114296571 |
| Entity Type | Organization |
| Organization Name | THE WELLNESS GROUP YOUTH & FAMILY SERVICES, INC. |
| Practice Address |
307 Lafayette Blvd L1 Fredericksburg VA 22401-6066 |
| Practice Telephone | 5403640614 |
| Mailing Telephone | 5403680614 |
| Mailing Fax Number | 5403680615 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |
| Authorized Official Name | MR. JOHN THOMAS REDD III (CEO) |
| Authorized Official Telephone | 5403680614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
492-03-003 | VA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
492-07-004 | VA | Behavioral Health & Social Service Providers |
| N | 251E00000X | Home Health | 492-03-003 | VA | Agencies |
| N | 251S00000X | Community/Behavioral Health | 492-07-004 | VA | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 492-03-003 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 492 | 05 | |
| VA | DBHDS | 492 07-004 | 01 |
| VA | DBHDS | 492 03 003 | 01 |
| Street Address |
307 LAFAYETTE BLVD L1 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-6066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942289327 | Meredith Fox | Social Worker | 307 Lafayette Blvd, Suite 300, Fredericksburg, VA 22401-6066 | 2006-01-12 |
| 1326493131 | Tia M Bach | Social Worker | 307 Lafayette Blvd, 202, Fredericksburg, VA 22401-6066 | 2016-04-29 |
| 1093012924 | Susan B Walden | Counselor | 307 Lafayette Blvd, Suite 100, Fredericksburg, VA 22401-6066 | 2011-02-11 |
| 1194954008 | Empowerment Clinical & Consulting Services of Fredericksburg | Community/Behavioral Health | 307 Lafayette Blvd, Fredericksburg, VA 22401-6066 | 2009-07-13 |
| 1023250743 | Family Preservation Services, Inc | Community/Behavioral Health | 307 Lafayette Blvd, Suite 200, Fredericksburg, VA 22401-6066 | 2009-03-26 |
| 1700088671 | Megan Marie Hall | Counselor | 307 Lafayette Blvd, Suite 200, Fredericksburg, VA 22401-6066 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| 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 |
| 1275802480 | Family Preservation Services, Inc. | Community/Behavioral Health | 5620 Smith Station Rd, Fredericksburg, VA 22407-9311 | 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 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.