FAMILY PRESERVATION SERVICES, INC. (NPI# 1972631927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972631927 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES, INC. |
| Practice Address |
3057 Colonial Ave Sw Roanoke VA 24015-4705 |
| 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 | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL FIDGEON (COO) |
| Authorized Official Telephone | 5407106085 |
| 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 |
|---|---|---|---|---|
| 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 |
3057 COLONIAL AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24015-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760981401 | Lori Osborne Perkins | Speech-Language Pathologist | 3057 Colonial Ave Sw, Roanoke, VA 24015-4705 | 2018-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549163 | Manu Singh | Physical Therapist | 1327 Grandin Rd #243, Roanoke, VA 24015 | 2018-02-27 |
| 1952828329 | Lisa Nielsen | Early Intervention Provider Agency | 2112 Maiden Lane Sw, Roanoke, VA 24015 | 2017-08-27 |
| 1518304955 | Blue Ridge Healthcare Partners, LLC | Clinic/Center | 602 Brandon Ave, Suite 222, Roanoke, VA 24015 | 2013-05-24 |
| 1184938185 | Pamela Jean Merritt | Dentist | 2022 Brambleton Ave Sw, Roanoke, VA 24015 | 2010-08-02 |
| 1093957458 | Susan Wohlford | Speech-Language Pathologist | 2030 Colonial Avenue Sw, Roanoke, VA 24015 | 2009-04-01 |
| 1922141811 | Robert Douglas Ross | Dentist | 1602 Grandin Rd, Roanoke, VA 24015 | 2007-02-14 |
| 1043395825 | Michael Burgoon | Chiropractor | 2302 Colonial Ave Sw, Suite A, Roanoke, VA 24015 | 2006-10-27 |
| 1245342237 | Roanoke Family Medicine | Family Medicine | Roanoke Family Medicine Inc, Roanoke, VA 24015 | 2006-08-31 |
| 1861971475 | Molly Amelia Southard | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-14 |
| 1740769009 | Makayla Ramsey | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-08 |
| Find all providers in zip 24015 | ||||
| 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.