Organization Active NPI

Act Family Program

  • Community/Behavioral Health Agency
  • Warrenton, VA
National Provider Identifier
1396998480
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1172 Issued in VA
Legal business name
ACT FAMILY PROGRAM
Practice address
39 Garrett Street
Suite 109
Warrenton, VA 20186
Phone
(540) 347-2221
Fax
(540) 347-2221
NPI assigned
Nov 3, 2008
Last updated
Mar 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Dr. Sharon L. Coffey, PSYD, LPCNPI 1124211347
Title
Director
Phone
(540) 220-2703

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1172 VA Primary

Addresses

Primary practice location

39 Garrett Street
Suite 109
Warrenton, VA 20186

Mailing address

39 Garrett Street
Suite 109
Warrenton, VA 20186
Phone (540) 347-2221

National Provider Directory

National Provider Directory

Locations

39 Garrett St
Ste 109
Warrenton, VA 20186
Phone (540) 347-2221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1396998480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GARRETT STREET",
            "address_2": "SUITE 109",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "20186",
            "telephone_number": "540-347-2221",
            "fax_number": "540-347-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GARRETT STREET",
            "address_2": "SUITE 109",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "20186",
            "telephone_number": "540-347-2221",
            "fax_number": "540-347-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT FAMILY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-220-2703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.