Active NPI
Family Counseling Center for Recovery
- Substance Use Disorder Rehabilitation Clinic/Center
- Richmond, VA
National Provider Identifier
1043376866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 746
- Legal business name
- FAMILY COUNSELING CENTER FOR RECOVERY
- Practice address
- 4906 Radford Ave
Richmond, VA 23230-3512 - Phone
- (804) 354-1996
- Fax
- (804) 354-5516
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Adcock, LCSW
- Title
- Director
- Phone
- (804) 354-1996
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | 746 | VA | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 746 | VA | Primary |
Addresses
Primary practice location
4906 Radford Ave
Richmond, VA 23230-3512
Mailing address
4906 Radford Ave
Richmond, VA 23230-3512
Phone (804) 354-1996
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2421212 | Other | VA | CIGNA |
| 783408000 | Other | VA | MAGELLAN |
| 303602 | Other | VA | ANTHEM |
| 184832 | Other | VA | COMPYSCH |
| 144252 | Other | VA | ANTHEM |
| 2204983 | Other | VA | CIGNA |
| 301263 | Other | VA | ANTHEM |
| 527132 | Other | VA | VALUE OPTION |
| 1021282 | Other | VA | CIGNA |
| 43014000 | Other | VA | MAGELLAN |
| 7805742 | Other | VA | AETNA |
| 7947214 | Other | VA | AETNA |
| 89403M | Other | VA | UNITED BEHAVIORAL HEALTH |
Other names 1
- FCCR
National Provider Directory
National Provider Directory- Tax ID family
- Family Counseling Center for Recovery
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- North Chesterfield, VA
- NPI 1790152775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411689600000",
"number": "1043376866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4906 RADFORD AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303512",
"telephone_number": "804-354-1996",
"fax_number": "804-354-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4906 RADFORD AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303512",
"telephone_number": "804-354-1996",
"fax_number": "804-354-5516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY COUNSELING CENTER FOR RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2014-09-26",
"status": "A",
"authorized_official_last_name": "ADCOCK",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "804-354-1996",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "VA",
"license": "746",
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "VA",
"license": "746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2421212",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "783408000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "303602",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPYSCH",
"identifier": "184832",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "144252",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2204983",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "301263",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTION",
"identifier": "527132",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1021282",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "43014000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7805742",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7947214",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "89403M",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FCCR",
"code": "5",
"type": "Other Name"
}
]
}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 Sep 26, 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.