FAMILY PRESERVATION SERVICES, INC. (NPI# 1982041000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982041000 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES, INC. |
| Practice Address |
825 Stewart Ave Se Roanoke VA 24013-1443 |
| Mailing Address |
10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 |
| Practice Telephone | 5403449501 |
| Practice Fax Number | 5403447162 |
| Mailing Telephone | 5407106085 |
| Mailing Fax Number | 5407106447 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |
| Authorized Official Name | DR. BETTY ETZLER (VA STATE DIRECTOR) |
| Authorized Official Telephone | 5403817500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 158 02 014 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 158 02 014 | 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 |
825 STEWART AVE SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
| 1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
| 1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
| 1801251806 | Emily Lawson Bennett | Nurse Practitioner | 101 Elm Ave Se, Roanoke, VA 24013 | 2015-12-18 |
| 1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
| 1922552512 | Kuumba Community Health & Wellness, Inc. | Clinic/Center | 321 Tazewell Ave Se, Roanoke, VA 24013-1445 | 2016-08-11 |
| Find all providers in zip 24013 | ||||
| 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.