NPIMap

Organization Active NPI

Family and Adolescent Services

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1033533526
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
942 Issued in VA
Legal business name
FAMILY AND ADOLESCENT SERVICES
Practice address
501 E Franklin St Ste 414
Richmond, VA 23219-2330
Phone
(804) 521-4450
Fax
(804) 521-4071
NPI assigned
Feb 5, 2014
Last updated
Feb 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lawrence Eugene Woodson, ED. D.
Title
Executive Director
Phone
(804) 521-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 942 VA Primary

Addresses

Primary practice location

501 E Franklin St Ste 414
Richmond, VA 23219-2330

Mailing address

501 E Franklin St Ste 414
Richmond, VA 23219-2330
Phone (804) 521-4450

Other identifiers 4

IdentifierTypeStateIssuer
1720392319MedicaidVA
1508199241MedicaidVA
1124225933MedicaidVA
1265704407MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Family and Adolescent Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1033533526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E FRANKLIN ST STE 414",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232192330",
            "telephone_number": "804-521-4450",
            "fax_number": "804-521-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E FRANKLIN ST STE 414",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232192330",
            "telephone_number": "804-521-4450",
            "fax_number": "804-521-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND ADOLESCENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-521-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED. D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720392319",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508199241",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124225933",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265704407",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.