FAMILY PRESERVATION SERVICES, INC. (NPI# 1689912024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689912024 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES, INC. |
| Practice Address |
1044 Otter River Dr Goode VA 24556-2605 |
| Mailing Address |
10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 |
| Practice Telephone | 4345289711 |
| Practice Fax Number | 4345289716 |
| Mailing Telephone | 5407106085 |
| Mailing Fax Number | 5407106447 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |
| Authorized Official Name | MR. MICHAEL C FIDGEON (PRESIDENT) |
| 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 |
|---|---|---|---|---|
| 1235791385 | Family Preservation Services, Inc. | Community/Behavioral Health | 59 John Lewis Rd, Fishersville, VA 22939-3414 | 2019-06-28 |
| 1770142994 | Family Preservation Services, Inc. | Community/Behavioral Health | 108 W Blue Ridge St, Stuart, VA 24171-1579 | 2019-06-11 |
| 1609434042 | Family Preservation Services, Inc. | Community/Behavioral Health | 155 Shady Elm Ln, Weber City, VA 24290-7299 | 2019-05-31 |
| 1477034999 | Family Preservation Services, Inc. | Community/Behavioral Health | 6339 Hurley Rd, Hurley, VA 24620-8601 | 2018-08-23 |
| 1386125805 | Family Preservation Services, Inc. | Community/Behavioral Health | 260 Advantage Dr, Tazewell, VA 24651-8551 | 2018-08-23 |
| 1740761261 | Family Preservation Services, Inc. | Community/Behavioral Health | 1300 Golden Wave Dr, Grundy, VA 24614-7070 | 2018-08-23 |
| 1962983650 | Family Preservation Services, Inc. | Community/Behavioral Health | 7802 Helen Henderson Hwy, Honaker, VA 24260-4226 | 2018-08-22 |
| 1306323225 | Family Preservation Services, Inc. | Community/Behavioral Health | 740 Figsboro Rd, Martinsville, VA 24112-6770 | 2018-07-24 |
| 1881104891 | Family Preservation Services, Inc. | Community/Behavioral Health | 816 E Bank St, Petersburg, VA 23803-3406 | 2017-10-04 |
| 1619374287 | Family Preservation Services, Inc. | Community/Behavioral Health | 58 Cedar Green Rd, Staunton, VA 24401-5423 | 2014-11-26 |
| 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 |
1044 OTTER RIVER DR |
| City | GOODE |
| State | VA |
| Zip Code | 24556-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861887739 | Family Preservation Services, Inc | Community/Behavioral Health | 1044 Otter River Dr, Goode, VA 24556-2605 | 2015-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770614349 | A. R. Hendricksen | Dentist | Hwy 221-8642 Forest Rd, Goode, VA 24556 | 2007-03-08 |
| 1942640495 | Julia M.k. White | Dentist | 8642 Forest Rd, Goode, VA 24556 | 2013-06-28 |
| 1073031746 | J&k Home Care Inc. | In Home Supportive Care | 101 W Otter Ridge Dr Ste A, Goode, VA 24556-2000 | 2017-09-01 |
| 1265902639 | Heather Aldridge | Counselor | 1582 Venturous Trl, Goode, VA 24556-2297 | 2018-11-28 |
| 1174998959 | Ryan Vaughn | Counselor | 2365 Cifax Rd, Goode, VA 24556-2896 | 2015-12-05 |
| 1033384052 | A. R. Hendricksen, D.d.s., Inc. | Dentist | 8642 Forest Rd, Goode, VA 24556-3027 | 2008-04-30 |
| 1578902904 | Brandon Keith White | Dentist | 8642 Forest Rd, Goode, VA 24556-3027 | 2013-06-19 |
| 1467722470 | Matthew Paul Vanalstine | Contractor | 8057 Charlemont Rd, Goode, VA 24556-3065 | 2012-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902639 | Heather Aldridge | Counselor | 1582 Venturous Trl, Goode, VA 24556-2297 | 2018-11-28 |
| 1073031746 | J&k Home Care Inc. | In Home Supportive Care | 101 W Otter Ridge Dr Ste A, Goode, VA 24556-2000 | 2017-09-01 |
| 1174998959 | Ryan Vaughn | Counselor | 2365 Cifax Rd, Goode, VA 24556-2896 | 2015-12-05 |
| 1467722470 | Matthew Paul Vanalstine | Contractor | 8057 Charlemont Rd, Goode, VA 24556-3065 | 2012-01-06 |
| 1033384052 | A. R. Hendricksen, D.d.s., Inc. | Dentist | 8642 Forest Rd, Goode, VA 24556-3027 | 2008-04-30 |
| 1770614349 | A. R. Hendricksen | Dentist | Hwy 221-8642 Forest Rd, Goode, VA 24556 | 2007-03-08 |
| 1942640495 | Julia M.k. White | Dentist | 8642 Forest Rd, Goode, VA 24556 | 2013-06-28 |
| 1578902904 | Brandon Keith White | Dentist | 8642 Forest Rd, Goode, VA 24556-3027 | 2013-06-19 |
| 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 |
|---|---|---|---|---|
| 1861887739 | Family Preservation Services, Inc | Community/Behavioral Health | 1044 Otter River Dr, Goode, VA 24556-2605 | 2015-03-30 |
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|---|---|---|---|---|
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| 1093313868 | Tri Counties Behavioral Health Services, LLC | Community/Behavioral Health | 1807 Piney Woods Road, Lawrenceville, VA 23868 | 2020-10-14 |
| 1275140626 | Savoy Wellness Center LLC | Community/Behavioral Health | 1209 N 32nd St, Richmond, VA 23223-6711 | 2020-09-29 |
| 1700493582 | Therapeutic Services of Virginia | Community/Behavioral Health | 101 Deep Creek Rd, Newport News, VA 23606-2219 | 2020-09-25 |
| 1801402995 | Strategic Therapy Associates, Inc. | Community/Behavioral Health | 150 W Main St Ste E, Wytheville, VA 24382-2376 | 2020-09-23 |
| 1396351193 | Maxim Healthcare Services Inc. | Community/Behavioral Health | 293 Independence Blvd Ste 400, Virginia Beach, VA 23462-5461 | 2020-09-17 |
| 1083228902 | Lr Counseling Services, LLC | Community/Behavioral Health | 5000 Owens Way, Apt. 622, Prince George, VA 23875 | 2020-09-08 |
| 1073127411 | Youth Outreach Services | Community/Behavioral Health | 7050 Lakota Dr Apt 301, Woodbridge, VA 22192-5392 | 2020-09-02 |
| 1053924803 | Foundation of Hope Mental Health Services LLC | Community/Behavioral Health | 857 Hardwood Dr, Chesapeake, VA 23320-9215 | 2020-08-30 |
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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.