FAMILY PRESRVATION SERVICES, INC (NPI# 1629221403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629221403 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESRVATION SERVICES, INC |
| Practice Address |
2620 Carolina Ave Sw Roanoke VA 24014-2310 |
| Mailing Address |
10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 |
| Practice Telephone | 5403447048 |
| Practice Fax Number | 5403447162 |
| Mailing Telephone | 5407106085 |
| Mailing Fax Number | 5407106447 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |
| Authorized Official Name | MR. MICHAEL C FIDGEON (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 |
|---|---|---|---|---|
| 1700108552 | Family Presrvation Services, Inc | Community/Behavioral Health | 19 Hayters Gap Road, Rosedale, VA 24280 | 2010-02-22 |
| 1205071750 | Family Presrvation Services, Inc | Community/Behavioral Health | 273 Titan Ln, Nickelsville, VA 24271-2610 | 2008-12-12 |
| 1730338302 | Family Presrvation Services, Inc | Community/Behavioral Health | 7250 Brooks Mill Rd, Wirtz, VA 24184-3552 | 2008-09-18 |
| Street Address |
2620 CAROLINA AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| 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 |
| 1295146405 | Family Preservation Services, Inc | Community/Behavioral Health | 3142 Preston Avenue, Roanoke, VA 24901 | 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.