Individual provider Active NPI

Francis Lanier Fly, D.MIN

  • Marriage & Family Therapist
  • Newport News, VA
National Provider Identifier
1225114549
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717000127 Issued in VA
Practice address
718 J Clyde Morris Blvd
Newport News, VA 23601-1540
Phone
(757) 873-8566
Fax
(757) 873-8566
NPI assigned
Oct 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717000127 VA Primary

Addresses

Primary practice location

718 J Clyde Morris Blvd
Newport News, VA 23601-1540

Mailing address

718 J Clyde Morris Blvd
Newport News, VA 23601-1540
Phone (757) 873-8566

Other identifiers 2

IdentifierTypeStateIssuer
0717000127OtherVALMFT
11239871OtherUNIVERSAL CREDENTIALLING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110004918 VA Practitioner - Marriage and Family Therapist 4385074145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fly Family Therapy IncGroup PAC ID 7315377173, 4 clinicians

Practice addresses (Care Compare)

732 Thimble Shoals Blvd
Suite 203
Newport News, VA 23606-4262
Phone (757) 873-8566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0717000127VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fly Family Therapy, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

732 Thimble Shoals Blvd
Ste 203
Newport News, VA 23606
Phone (757) 873-8566

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225114549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 J CLYDE MORRIS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011540",
            "telephone_number": "757-873-8566",
            "fax_number": "757-873-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 J CLYDE MORRIS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011540",
            "telephone_number": "757-873-8566",
            "fax_number": "757-873-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLY",
        "first_name": "FRANCIS",
        "middle_name": "LANIER",
        "name_prefix": "Dr.",
        "credential": "D.MIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "0717000127",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL CREDENTIALLING",
            "identifier": "11239871",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.