FAMILY SERVICE OF ROANOKE VALLEY (NPI# 1457397457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457397457 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE OF ROANOKE VALLEY |
| Practice Address |
360 Campbell Ave Sw Roanoke VA 24016-3625 |
| Practice Telephone | 5405635316 |
| Practice Fax Number | 5405635254 |
| Mailing Telephone | 5405635316 |
| Mailing Fax Number | 5405635254 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN PENDARVIS (CEO) |
| Authorized Official Telephone | 5405635316 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BC/BS | 240338 | 01 |
| VA | RAILROAD MEDICARE GROUP | CC0469 | 01 |
| Street Address |
360 CAMPBELL AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689146599 | Sarah Elizabeth Harig | Counselor | 360 Campbell Ave Sw, Roanoke, VA 24016-3625 | 2018-12-18 |
| 1447788856 | Emily Decarlo | Social Worker | 360 Campbell Ave Sw, Roanoke, VA 24016-3625 | 2017-05-30 |
| 1447621859 | Emily Painter | Counselor | 360 Campbell Ave Sw, Roanoke, VA 24016-3625 | 2015-10-12 |
| 1356772891 | Tammy Carr | Counselor | 360 Campbell Ave Sw, Roanoke, VA 24016-3625 | 2013-12-10 |
| 1275964710 | Lynda Seagraves Starr | Counselor | 360 Campbell Ave Sw, Roanoke, VA 24016-3625 | 2013-12-10 |
| 1982973806 | Polly Sheffield Roberts | Counselor | 360 Campbell Ave Sw, Roanoke, VA 24016-3625 | 2011-12-21 |
| 1659674794 | Kathleen Marie Struble | Social Worker | 360 Campbell Ave Sw, Roanoke, VA 24016-3625 | 2010-12-13 |
| 1770716227 | Rebecca L Farrell | Counselor | 360 Campbell Ave Sw, Roanoke, VA 24016-3625 | 2009-09-01 |
| 1346482924 | Thomas Lee Heasley | Marriage & Family Therapist | 360 Campbell Ave Sw, Roanoke, VA 24016-3625 | 2009-03-30 |
| 1750527230 | Cathy Mills Hudgins | Counselor | 360 Campbell Ave Sw, Roanoke, VA 24016-3625 | 2009-01-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023478625 | Esther Ferrell | Counselor | 725 Normandy St Ne, Roanoke, VA 24012-6529 | 2016-02-25 |
| 1649639584 | Geronetta Griffith | Counselor | 4333 Electric Rd, Apt. 3c, Roanoke, VA 24018-8439 | 2016-02-21 |
| 1306134382 | Heather Lenah Clifft | Counselor | 4220 Cypress Park Dr Ste B, Roanoke, VA 24018-8403 | 2011-07-12 |
| 1508075268 | Janet L Ramsey | Counselor | 1852 Greenwood Rd Sw, Roanoke, VA 24015-2820 | 2007-05-21 |
| 1982703658 | Charlottesville League of Therapists, Inc | Counselor | 1420 3rd St Sw, Roanoke, VA 24016-5205 | 2006-09-21 |
| 1154354819 | Tina Jean Genaro | Counselor | 4212 Cypress Park Dr Ste F, Roanoke, VA 24018-8417 | 2006-07-08 |
| 1114993649 | Letitia Renee Hawkins-beatty | Counselor | 5650 Hollins Rd, Roanoke, VA 24019-5056 | 2006-02-24 |
| 1609849314 | Donna S. Dent | Counselor | 2702 Liberty Rd Nw, Roanoke, VA 24012-4745 | 2006-02-12 |
| 1588207963 | Tonita Lowery | Counselor | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 | 2019-10-18 |
| 1932740628 | Stelsie Hodge Stone | Counselor | 3003 Hollins Rd Ne, Roanoke, VA 24012-7505 | 2019-10-03 |
| 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.