NPIMap

Organization Active NPI

Family Maintenance Counseling Group, Inc.

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1477646891
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
79405001 Issued in VA
Legal business name
FAMILY MAINTENANCE COUNSELING GROUP, INC.
Practice address
3900 Chamberlayne Ave
Richmond, VA 23227-4202
Phone
(804) 440-8310
Fax
(804) 515-7703
NPI assigned
Sep 30, 2006
Last updated
Sep 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Mr. Eric Ingram, B.A., Q.M.H.P.
Title
President
Phone
(804) 440-8310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 79405001 VA Primary

Addresses

Primary practice location

3900 Chamberlayne Ave
Richmond, VA 23227-4202

Mailing address

3900 Chamberlayne Ave
Richmond, VA 23227-4202
Phone (804) 440-8310

Other identifiers 1

IdentifierTypeStateIssuer
010314542MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1477646891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CHAMBERLAYNE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274202",
            "telephone_number": "804-440-8310",
            "fax_number": "804-515-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CHAMBERLAYNE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274202",
            "telephone_number": "804-440-8310",
            "fax_number": "804-515-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MAINTENANCE COUNSELING GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-440-8310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A., Q.M.H.P."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "79405001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010314542",
            "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 Sep 11, 2009; 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.