FAMILY PRESERVATION SERVICES, INC (NPI# 1649427683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649427683 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES, INC |
| Practice Address |
1521 8th St Victoria VA 23974-9591 |
| Mailing Address |
10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 |
| Practice Telephone | 4346964633 |
| Practice Fax Number | 4346964634 |
| Mailing Telephone | 5407106085 |
| Mailing Fax Number | 5407106447 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |
| 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 | 15802029 | 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 |
1521 8TH ST |
| City | VICTORIA |
| State | VA |
| Zip Code | 23974-9591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417108515 | Family Preservation Services, Inc | Community/Behavioral Health | 1521 8th St, Victoria, VA 23974-9591 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174060594 | Elizabeth White Lipp | Behavioral Analyst | 2503 Nottoway Blvd., Victoria, VA 23974 | 2017-01-24 |
| 1902160849 | Daniel Lee Messerschmidt | Dentist | 690 Falls Rd, Victorira, VA 23974 | 2012-06-26 |
| 1902048424 | Family Preservation Services, Inc | Community/Behavioral Health | 3357 Nutbrush Road, Victoria, VA 23974 | 2009-03-30 |
| 1518118686 | Family Preservation Services, Inc | Community/Behavioral Health | 131 Kv Road, Victoria, VA 23974 | 2008-10-07 |
| 1396995940 | Southern Dominion Health System, Inc. | Clinic/Center | 1685 K-v Road, Victoria, VA 23974 | 2008-09-19 |
| 1053456087 | Victoria Drug Company | Pharmacy | 1821 Main Street, Victoria, VA 23974 | 2007-02-20 |
| 1821068024 | Troy West Pulliam | Physician Assistant | 1508 Kv Road, Victoria, VA 23974 | 2006-01-23 |
| 1083619563 | Jacquelin S Daniel | Nurse Practitioner | 1508 K-v Road, Victoria, VA 23974 | 2005-06-20 |
| 1164966016 | Ashley Pollard | Dentist | 1685 K-v Road, Victoria, VA 23974 | 2016-12-12 |
| 1629403209 | Shannon Rakes | Social Worker | 1685 K-v Road, Victoria, VA 23974 | 2013-09-13 |
| Find all providers in zip 23974 | ||||
| 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 |
|---|---|---|---|---|
| 1801205810 | Billy T. Cattan Recovery Outreach, Inc. | Community/Behavioral Health | 1908 N Laurent St Ste 120, Victoria, TX 77901-5475 | 2014-08-05 |
| 1356779409 | C4c Coastal Bend Inc | Community/Behavioral Health | 302 Avenue D, Victoria, TX 77901-8529 | 2013-10-29 |
| 1902048424 | Family Preservation Services, Inc | Community/Behavioral Health | 3357 Nutbrush Road, Victoria, VA 23974 | 2009-03-30 |
| 1518118686 | Family Preservation Services, Inc | Community/Behavioral Health | 131 Kv Road, Victoria, VA 23974 | 2008-10-07 |
| 1407007503 | Family Preservation Services, Inc | Community/Behavioral Health | 583 Tomlinson Rd, Victoria, VA 23974-2628 | 2008-10-07 |
| 1639255979 | Family Preservation Services, Inc | Community/Behavioral Health | 3357 Nutbush Rd, Victoria, VA 23974-3004 | 2006-10-30 |
| 1144774860 | Karen Kennemer | Community/Behavioral Health | 6502 Nursery Dr, Victoria, TX 77904-1178 | 2016-08-10 |
| 1174076046 | David and Delores White | Community/Behavioral Health | 4702 N Laurent St, Suite D, Victoria, TX 77904-2147 | 2016-07-27 |
| 1174973069 | Heartland Social Work Staffing, LLC | Community/Behavioral Health | 2701 N Azalea St, Suite 3, Victoria, TX 77901-4182 | 2016-06-21 |
| 1417108515 | Family Preservation Services, Inc | Community/Behavioral Health | 1521 8th St, Victoria, VA 23974-9591 | 2008-10-07 |
| Find all providers in VICTORIA | ||||
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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.