NPIMap

Organization Active NPI

McCarroll and Rodgers Fostering Change LLC

  • Community/Behavioral Health Agency
  • Henrico, VA
National Provider Identifier
1083094403
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MCCARROLL AND RODGERS FOSTERING CHANGE LLC
Practice address
4120 Lakefield Dr
Apt B
Henrico, VA 23231-4173
Phone
(908) 548-3337
NPI assigned
Jun 1, 2015
Last updated
Jun 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Shelley Rodgers, MSWNPI 1609432053
Title
Coo
Phone
(908) 548-3337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4120 Lakefield Dr
Apt B
Henrico, VA 23231-4173

Mailing address

4120 Lakefield Dr
Apt B
Henrico, VA 23231-4173
Phone (908) 548-3337

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1083094403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 LAKEFIELD DR",
            "address_2": "APT B",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232314173",
            "telephone_number": "908-548-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 LAKEFIELD DR",
            "address_2": "APT B",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232314173",
            "telephone_number": "908-548-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCARROLL AND RODGERS FOSTERING CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "908-548-3337",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.