Active NPI
Family Behavioral Services, LLC
- Mental Health Counselor
- Hyattsville, MD
National Provider Identifier
1295747285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FAMILY BEHAVIORAL SERVICES, LLC
- Practice address
- 1835 University Blvd E Ste 316
Hyattsville, MD 20783-4672 - Phone
- (301) 270-3200
- Fax
- (301) 270-4600
- NPI assigned
- Aug 12, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Nadege Nicole Fevry
- Title
- Ceo
- Phone
- (301) 270-3200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Silver Spring, MD
- NPI 1245625649
DC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110518000298 | DC | Part B Supplier - Clinic/Group Practice | 4284810789 |
Receives reassigned benefits from 7 practitioners Practice locations: Hyattsville, MD |
National Provider Directory
National Provider DirectoryLocations
6475 New Hampshire Ave
Ste 610
Hyattsville, MD 20783
Phone (301) 270-3200
Specialties & licenses 6
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
NPPES NPI RegistryPrimary practice location
1835 University Blvd E Ste 316
Hyattsville, MD 20783-4672
Mailing address
1835 University Blvd E Ste 316
Hyattsville, MD 20783-4672
Phone (301) 270-3200
Other practice location 1
6475 New Hampshire Ave
Suite 650
Hyattsville, MD 20783-3269
Phone (301) 270-3200
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406060100 | Medicaid | MD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2022.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660262400000",
"number": "1295747285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 UNIVERSITY BLVD E STE 316",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207834672",
"telephone_number": "301-270-3200",
"fax_number": "301-270-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 UNIVERSITY BLVD E STE 316",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207834672",
"telephone_number": "301-270-3200",
"fax_number": "301-270-4600"
}
],
"practiceLocations": [
{
"address_1": "6475 New Hampshire Ave",
"address_2": "Suite 650",
"address_purpose": "LOCATION",
"city": "Hyattsville",
"state": "MD",
"postal_code": "207833269",
"country_code": "US",
"telephone_number": "301-270-3200",
"fax_number": "301-270-4600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAMILY BEHAVIORAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A",
"authorized_official_last_name": "FEVRY",
"authorized_official_first_name": "NADEGE",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-270-3200",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "406060100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.