FAMILY PRESERVATION SERVICES, INC (NPI# 1679613764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679613764 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES, INC |
| Practice Address |
75 Moncure Ln Stafford VA 22556-4621 |
| Mailing Address |
10304 Spotsylvania Ave Suite 300 Fredericksburg VA 22408-8602 |
| Practice Telephone | 5403721438 |
| Practice Fax Number | 5403727071 |
| Mailing Telephone | 5407106085 |
| Mailing Fax Number | 5407106419 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL FIDGEON (CEO) |
| Authorized Official Telephone | 5401706085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 15802029 | 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 |
75 MONCURE LN |
| City | STAFFORD |
| State | VA |
| Zip Code | 22556-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790289858 | Nancy Weakley Wanner | Speech-Language Pathologist | 75 Moncure Ln, Stafford, VA 22556-4621 | 2018-03-22 |
| 1114427192 | Sharon Jacqueline Brown | Social Worker | 75 Moncure Ln, Stafford, VA 22556-4621 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528686995 | In Place Health Providers LLC | Home Health | 40 Winning Colors Rd, Stafford, VA 22556 | 2020-07-11 |
| 1285284653 | Mesanhe Dolsenhe | Physician Assistant | 24008 Belleau Ave, Fpo, AA 22556 | 2019-09-17 |
| 1336661271 | Cala Booth | Licensed Practical Nurse | 48 Boundary Dr, Stafford, VA 22556 | 2017-07-12 |
| 1790130235 | Travis Cole | Contractor | 80 Cherry Hill Drive, Stafford, VA 22556 | 2016-05-03 |
| 1346536075 | Janice Soliven | Family Medicine | 95 Dunn St, Suite 123, Stafford, VA 22556 | 2011-06-21 |
| 1548560782 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 60 Prosperity Lane, Stafford, VA 22556 | 2010-10-21 |
| 1811193899 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 125 Woodstream Boulevard, Suite 109, Stafford, VA 22556 | 2007-06-26 |
| 1952323131 | Kevin Lee Dixon | Optometrist | 120 Soaring Eagle Dr, Stafford, VA 22556 | 2006-07-24 |
| 1457381766 | Pediatric Partners of Stafford PC | Pediatrics | 110 Soaring Eagle Drive, Stafford, VA 22556 | 2006-07-03 |
| 1386138436 | Laura Massena-mazur Coutcher | Pharmacist | 1505 Stafford Market Pl, Stafford, VA 22556 | 2018-06-20 |
| Find all providers in zip 22556 | ||||
| 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 |
|---|---|---|---|---|
| 1821374398 | Amen Human Resource Services, Inc | Community/Behavioral Health | 12240 Murphy Rd Ste P, Stafford, TX 77477-2411 | 2011-10-28 |
| 1063713956 | Different Direction LLC | Community/Behavioral Health | 1211 Wesley Dr, Stafford, TX 77477-6493 | 2010-11-08 |
| 1992935498 | Family Preservation Services, Inc | Community/Behavioral Health | 60 Gallery Rd, Stafford, VA 22554-8839 | 2009-07-17 |
| 1447480942 | Family Preservation Services, Inc. | Community/Behavioral Health | 101 Den Rich Rd, Stafford, VA 22554-4748 | 2009-07-17 |
| 1073748646 | Fort Bend Regional Council On Substance Abuse, Inc. | Community/Behavioral Health | 10435 Greenbough Dr Ste 250, Stafford, TX 77477-5034 | 2009-05-26 |
| 1174776959 | Family Preervation Services, Inc | Community/Behavioral Health | 800 Eustace Rd, Stafford, VA 22554-3794 | 2008-10-24 |
| 1396885489 | Family Preservation Services, Inc | Community/Behavioral Health | 150 Duffey Dr, Stafford, VA 22556-8034 | 2007-02-07 |
| 1952441032 | Family Preservation Services, Inc | Community/Behavioral Health | 1349 Courthouse Rd, Stafford, VA 22554-7234 | 2007-02-07 |
| 1699395673 | Trs Health Inc | Community/Behavioral Health | 12805 Capricorn St, Stafford, TX 77477-3914 | 2020-04-20 |
| 1225658529 | Village Counseling Pllc | Community/Behavioral Health | 800 Corporate Dr Ste 301, Stafford, VA 22554-4889 | 2020-04-16 |
| Find all providers in STAFFORD | ||||
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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.