Organization Active NPI

Family Teamwork, Inc.

  • Counselor
  • Woodbridge, VA
National Provider Identifier
1205807096
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
FAMILY TEAMWORK, INC.
Practice address
4300 Ridgewood Center Dr
Unit a
Woodbridge, VA 22192-5307
Phone
(703) 580-7210
Fax
(703) 580-7213
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Michael Simon, M.A.
Title
Program Director
Phone
(703) 969-1196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

4300 Ridgewood Center Dr
Unit a
Woodbridge, VA 22192-5307

Mailing address

4300 Ridgewood Center Dr
Unit a
Woodbridge, VA 22192-5307
Phone (703) 580-7210

National Provider Directory

National Provider Directory

Locations

4300 Ridgewood Center Dr
#A
Woodbridge, VA 22192
Phone (703) 283-0680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205807096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 RIDGEWOOD CENTER DR",
            "address_2": "UNIT A",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925307",
            "telephone_number": "703-580-7210",
            "fax_number": "703-580-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 RIDGEWOOD CENTER DR",
            "address_2": "UNIT A",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925307",
            "telephone_number": "703-580-7210",
            "fax_number": "703-580-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TEAMWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "703-969-1196",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.