Organization Active NPI

Choices Family Services LLC

  • Community/Behavioral Health Agency
  • Martinsville, VA
National Provider Identifier
1477930469
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHOICES FAMILY SERVICES LLC
Practice address
133 E Market St
Suite 102
Martinsville, VA 24112-3738
Phone
(276) 403-4740
NPI assigned
Apr 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Glen Edward HairstonNPI 1134753387
Title
Ceo/Director
Phone
(276) 403-4740

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

133 E Market St
Suite 102
Martinsville, VA 24112-3738

Mailing address

133 E. Market Street
Suite 102
Martinsville, VA 24112-3740
Phone (276) 403-4740

National Provider Directory

National Provider Directory

Locations

133 E Market St
Ste 102
Martinsville, VA 24112
Phone (276) 403-4740

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": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1477930469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E. MARKET STREET",
            "address_2": "SUITE 102",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123740",
            "telephone_number": "276-403-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MARKET ST",
            "address_2": "SUITE 102",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123738",
            "telephone_number": "276-403-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "276-403-4740"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.