Active NPI
Family Preservation Services
- Professional Counselor
- Hampton, VA
National Provider Identifier
1164635132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003898
- Legal business name
- FAMILY PRESERVATION SERVICES
- Practice address
- 205 Laketower Dr.
Hampton, VA 23666 - Phone
- (757) 838-8520
- Fax
- (757) 838-8528
- NPI assigned
- May 7, 2007
- 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
- Kimberly Speed, LPC, LMFT
- Title
- Family Therapy Supervisor
- Phone
- (757) 838-8520
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003898 | VA | Primary |
| Marriage & Family Therapist | 106H00000X | 0717001103 | VA |
Addresses
Primary practice location
205 Laketower Dr.
Hampton, VA 23666
Mailing address
205 Laketower Drive
Hampton, VA 23666
Phone (757) 838-8520
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O802678M | Other | VA | OPTIMA |
| 294478 | Other | VA | BLUE CROSS BLUE SHIELD |
| 383405 | Other | VA | TRICARE |
National Provider Directory
National Provider Directory- Tax ID family
- Clarvida
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Roanoke, VA
- NPI 1093891335
Locations
205 Lake Tower Dr
Hampton, VA 23666
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Hampton, VA
- NPI 1437364866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1164635132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 LAKETOWER DRIVE",
"city": "HAMPTON",
"state": "VA",
"postal_code": "23666",
"telephone_number": "757-838-8520",
"fax_number": "757-838-8528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 LAKETOWER DR.",
"city": "HAMPTON",
"state": "VA",
"postal_code": "23666",
"telephone_number": "757-838-8520",
"fax_number": "757-838-8528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRESERVATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SPEED",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "FAMILY THERAPY SUPERVISOR",
"authorized_official_telephone_number": "757-838-8520",
"authorized_official_credential": "LPC, LMFT"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003898",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717001103",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "O802678M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "294478",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "383405",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.