| Family Preservation Services, Inc | |
|
115 Jefferson Davis Hwy Suite 101 Fredericksburg VA 22401 | |
| (540) 710-5810 | |
| (540) 710-0302 |
| Full Name | Family Preservation Services, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 115 Jefferson Davis Hwy, Fredericksburg, Virginia |
| Authorized Official Name and Position | Donna Quarles (DIRECTOR OF CLINICAL RECORDS) |
| Authorized Official Contact | 5409931229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Preservation Services, Inc 10304 Spotsylvania Ave Suite 300 Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Services, Inc 115 Jefferson Davis Hwy Suite 101 Fredericksburg VA 22401 Ph: (540) 710-5810 |
| NPI Number | 1093891335 |
|---|---|
| Provider Enumeration Date | 10/30/2006 |
| Last Update Date | 07/12/2018 |
| Medicare PECOS PAC ID | 9537380746 |
|---|---|
| Medicare Enrollment ID | O20141030002599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093891335 | NPI | - | NPPES |
| 004945832 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15805001 (Virginia) | Primary |
| 343900000X | Non-emergency Medical Transport (van) | 158-02-014 (Virginia) | Secondary |
| Provider Name | Cassandra R Dingus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013105840 PECOS PAC ID: 4789584897 Enrollment ID: I20040113000415 |
| Provider Name | Donald Elmer Dingus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265471635 PECOS PAC ID: 7810985827 Enrollment ID: I20040506000162 |
| Provider Name | Benjamin L Wiseman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275777518 PECOS PAC ID: 0547498495 Enrollment ID: I20141001002324 |
| Provider Name | Jason J Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275941536 PECOS PAC ID: 3476875295 Enrollment ID: I20141205002129 |
| Provider Name | Amy R Dickenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932582350 PECOS PAC ID: 9032429964 Enrollment ID: I20151124001464 |
| Provider Name | Courtney Patterson-manfredi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528465135 PECOS PAC ID: 5799068672 Enrollment ID: I20171114003311 |
| Provider Name | Stephanie G Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891028502 PECOS PAC ID: 5294960159 Enrollment ID: I20180117003082 |
| Provider Name | Stephanie Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104336866 PECOS PAC ID: 7810236981 Enrollment ID: I20190307000970 |
| Provider Name | Melissa Marie Cramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174119945 PECOS PAC ID: 3476968173 Enrollment ID: I20210210001321 |
| Provider Name | Rebekah C Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417469958 PECOS PAC ID: 9032478425 Enrollment ID: I20220503000841 |
| Provider Name | Rhiannon M Lalumandier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790442085 PECOS PAC ID: 2264808195 Enrollment ID: I20221018003237 |
| Provider Name | Emily K Jennings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528569225 PECOS PAC ID: 7810348356 Enrollment ID: I20240109001578 |
Family Preservation Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Learning Ln, Fredericksburg, VA 22401 Phone: 540-372-1438 Fax: 540-372-7071 | |
Allied Psychological Assessment Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 615 Jefferson Davis Hwy Ste 203, Fredericksburg, VA 22401 Phone: 540-681-1669 | |
Brave Companion Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Avocet Way, Fredericksburg, VA 22406 Phone: 540-736-8065 | |
Family Preservation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10304 Spotsylvania Ave Fl 3, Fredericksburg, VA 22408 Phone: 540-710-6085 Fax: 540-710-6447 | |
Peak Mental Health Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1133 Heatherstone Dr Ste 102, Fredericksburg, VA 22407 Phone: 540-548-2430 Fax: 540-898-2242 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Lee Hill Drive, Fredericksburg, VA 22408 Phone: 540-710-5810 Fax: 540-710-0203 | |
Mosaic Child & Family Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Emancipation Hwy Ste 202, Fredericksburg, VA 22401 Phone: 540-373-2111 Fax: 540-373-2227 |