NPIMap

Organization Active NPI

Family Impact Inc

  • Counselor
  • Richmond, VA
National Provider Identifier
1174543789
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
784 Issued in VA
Legal business name
FAMILY IMPACT INC
Practice address
304 Turner Rd
Suite C
Richmond, VA 23225-6431
Phone
(804) 276-1777
Fax
(804) 276-1877
NPI assigned
Jul 20, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Ruth Felicia Mattocks
Title
President/Human Resource Manager
Phone
(804) 276-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 784 VA Primary

Addresses

Primary practice location

304 Turner Rd
Suite C
Richmond, VA 23225-6431

Mailing address

304 Turner Rd
Suite C
Richmond, VA 23225-6427
Phone (804) 276-1777

Other identifiers 1

IdentifierTypeStateIssuer
010285445MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Family Impact Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

304 Turner Rd
Ste C
North Chesterfield, VA 23225
Phone (804) 276-1777

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1174543789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TURNER RD",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232256427",
            "telephone_number": "804-276-1777",
            "fax_number": "804-276-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TURNER RD",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232256431",
            "telephone_number": "804-276-1777",
            "fax_number": "804-276-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY IMPACT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "MATTOCKS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "FELICIA",
        "authorized_official_title_or_position": "PRESIDENT/HUMAN RESOURCE MANAGER",
        "authorized_official_telephone_number": "804-276-1777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "VA",
            "license": "784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010285445",
            "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 Jun 16, 2008; 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.