FAMILY PRESERVATION SERVICES, INC (NPI# 1295146405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295146405 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES, INC |
| Practice Address |
3142 Preston Avenue Roanoke VA 24901 |
| Mailing Address |
10304 Spotsylvania Avenue Suite 300 Fredericksburg VA 22408 |
| Practice Telephone | 5403449501 |
| Practice Fax Number | 5403447162 |
| Mailing Telephone | 5407106085 |
| Mailing Fax Number | 5407106447 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | DR. ALLISON SAMPSON-JACKSON (VA STATE DIRECTOR) |
| Authorized Official Telephone | 5407106085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 158 02 014 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 158 02 014 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124518105 | Family Preservation Services, Inc | Community/Behavioral Health | 3710 Churchville Ave, Churchville, VA 24421-2500 | 2018-05-15 |
| 1689186090 | Family Preservation Services, Inc | Community/Behavioral Health | 6328 Merriman Rd, Roanoke, VA 24018-6624 | 2017-10-26 |
| 1679083596 | Family Preservation Services, Inc | Community/Behavioral Health | 311 S Bridge St, Bedford, VA 24523-2705 | 2017-10-05 |
| 1881104701 | Family Preservation Services, Inc | Community/Behavioral Health | 63 State Route 9030, Stuarts Draft, VA 24477 | 2017-10-05 |
| 1427568344 | Family Preservation Services, Inc | Community/Behavioral Health | 184 Fort Defiance Rd, Fort Defiance, VA 24437-2001 | 2017-10-05 |
| 1154854248 | Family Preservation Services, Inc | Community/Behavioral Health | 5338 Esserville Road, Norton, VA 24273 | 2017-04-06 |
| 1386185361 | Family Preservation Services, Inc | Community/Behavioral Health | 122 Municipal Ave, Gate City, VA 24251-2738 | 2017-03-10 |
| 1255870093 | Family Preservation Services, Inc | Community/Behavioral Health | 12400 E Lynchburg Salem Turnpike, Forest, VA 24551 | 2017-02-13 |
| 1326598293 | Family Preservation Services, Inc | Community/Behavioral Health | 432 Church St, Millboro, VA 24460-2132 | 2016-10-04 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 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 |
3142 PRESTON AVENUE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| 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 |
|---|---|---|---|---|
| 1851910046 | A Path Forward Behavioral Health, LLC. | Community/Behavioral Health | 101 Church Ave Sw, Roanoke, VA 24011-1922 | 2020-04-09 |
| 1437621950 | Lifeforce Counseling and Consulting, LLC | Community/Behavioral Health | 4800 Pleasant Hill Dr Ste 202, Roanoke, VA 24018-3406 | 2018-12-21 |
| 1689186090 | Family Preservation Services, Inc | Community/Behavioral Health | 6328 Merriman Rd, Roanoke, VA 24018-6624 | 2017-10-26 |
| 1013467000 | Jude's Place LLC | Community/Behavioral Health | 13537 Lost Spurs Rd, Roanoke, TX 76262-4508 | 2016-10-13 |
| 1679932396 | Strategic Therapy Associates | Community/Behavioral Health | 4664 Brambleton Ave, Roanoke, VA 24018-3411 | 2016-02-23 |
| 1609240043 | Family Counseling of Roanoke, LLC | Community/Behavioral Health | 3524 Brambleton Ave Ste 3, Roanoke, VA 24018-6528 | 2015-11-23 |
| 1497123657 | Family Preservation Services, Inc | Community/Behavioral Health | 3649 Ferncliff Ave Nw, Roanoke, VA 24017-1411 | 2015-09-04 |
| 1093182891 | Vianney Marengo | Community/Behavioral Health | 5460 Gloster Dr Apt 1a, Roanoke, VA 24019-6078 | 2015-08-27 |
| 1982009098 | Re-direct Youth Services | Community/Behavioral Health | 526 Rorer Ave Sw, Roanoke, VA 24016-3604 | 2014-10-31 |
| 1700297876 | Phoenix LLC | Community/Behavioral Health | 4919 Brambleton Ave, Roanoke, VA 24018-4149 | 2014-05-12 |
| Find all providers in ROANOKE | ||||
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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.