FAMILY PRESERVATION SERVICES, INC (NPI# 1497123657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497123657 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES, INC |
| Practice Address |
3649 Ferncliff Ave Nw Roanoke VA 24017-1411 |
| 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 | 2015-09-04 |
| Last Update Date | 2015-09-04 |
| Authorized Official Name | MR. JON D MORRIS (CEO) |
| 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 |
|---|---|---|---|---|
| 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 |
3649 FERNCLIFF AVE NW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24017-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083132450 | Kuumba Community Health & Wellness Center, Inc. | Pharmacy | 3716 Melrose Ave Nw Suite 130, Roanoke, VA 24017 | 2017-09-06 |
| 1467880484 | Mitzi Cotton | Social Worker | 2021 Dansbury Drive, Roanoke, VA 24017 | 2013-10-30 |
| 1598002818 | Stacey Queen Graham | Occupational Therapist | 4550 Shenadoah Ave, Roanoke, VA 24017 | 2013-01-07 |
| 1366760506 | Tammy L Tomlinson | Physical Therapist | 4550 Shenandoah Avenue, Virginia Veterans Care Center, Roanoke, VA 24017 | 2010-05-12 |
| 1588817712 | Delphine Anita Childress | Registered Nurse | 2111 Temple Drive Nw, Roanoke, VA 24017 | 2008-10-31 |
| 1447471933 | Cathy Lucas | Physical Therapy Assistant | 4550 Shenandoah Ave, Roanoke, VA 24017 | 2007-05-01 |
| 1134214968 | Planned Parenthood South Atlantic | Clinic/Center | 2207 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-10-04 |
| 1871684902 | Janet Susan Sprouse | Counselor | 1301 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-09-27 |
| 1497764906 | B Alison Allsbrook | Social Worker | 3716 Melrose Avenue, Nw, Roanoke, VA 24017 | 2006-08-05 |
| 1427027341 | Goodwill Industries of The Valleys - Roanoke | Day Training, Developmentally Disabled Services | 2502 Melrose Avenue Nw, Roanoke, VA 24017 | 2006-03-14 |
| Find all providers in zip 24017 | ||||
| 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 |
| 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 |
| 1295146405 | Family Preservation Services, Inc | Community/Behavioral Health | 3142 Preston Avenue, Roanoke, VA 24901 | 2014-05-12 |
| 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.