NPIMap

Organization Active NPI

Family Connections Counseling Services

  • Clinical Psychologist
  • Chester, VA
National Provider Identifier
1568912707
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001349 Issued in VA
Legal business name
FAMILY CONNECTIONS COUNSELING SERVICES
Practice address
12801 Iron Bridge Rd Ste 400
Chester, VA 23831-1669
Phone
(804) 768-0295
Fax
(804) 768-8001
NPI assigned
Oct 12, 2016
Last updated
Oct 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Ms. Susan Varner
Title
Credentialing Associate
Phone
(804) 768-0295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810001349 VA Primary

Addresses

Primary practice location

12801 Iron Bridge Rd Ste 400
Chester, VA 23831-1669

Mailing address

12801 Iron Bridge Rd Ste 400
Chester, VA 23831-1669
Phone (804) 768-0295

Other identifiers 1

IdentifierTypeStateIssuer
0000779934MedicaidVA

Other names 1

  • Dr. Penny L. Sprecher Other name

National Provider Directory

National Provider Directory
Tax ID family
Dr Penny L Sprecher2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1568912707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 IRON BRIDGE RD STE 400",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311669",
            "telephone_number": "804-768-0295",
            "fax_number": "804-768-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 IRON BRIDGE RD STE 400",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311669",
            "telephone_number": "804-768-0295",
            "fax_number": "804-768-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CONNECTIONS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "VARNER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CREDENTIALING ASSOCIATE",
        "authorized_official_telephone_number": "804-768-0295",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000779934",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Penny L. Sprecher",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.