Active NPI
Thomas Faragher
- Mental Illness Community Based Residential Treatment Facility
- Richmond, VA
National Provider Identifier
1487737086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 0701003176
- Legal business name
- THOMAS FARAGHER
- Practice address
- 2419 Fon Du Lac Rd
Richmond, VA 23229-3323 - Phone
- (804) 440-7074
- Fax
- (804) 440-7075
- NPI assigned
- Oct 24, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Faragher, LPC, CSOTP
- Title
- Clinician
- Phone
- (804) 282-5644
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 0701003176 | VA | Primary |
Addresses
Primary practice location
2419 Fon Du Lac Rd
Richmond, VA 23229-3323
Mailing address
2419 Fon Du Lac Rd
Richmond, VA 23229-3323
Phone (804) 440-7074
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Professional Counselor
- Richmond, VA
- NPI 1831257906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487737086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 FON DU LAC RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232293323",
"telephone_number": "804-440-7074",
"fax_number": "804-440-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 FON DU LAC RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232293323",
"telephone_number": "804-440-7074",
"fax_number": "804-440-7075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS FARAGHER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FARAGHER",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CLINICIAN",
"authorized_official_telephone_number": "804-282-5644",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC, CSOTP"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "VA",
"license": "0701003176",
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.