Active NPI
Parent Support Services Especially for You, LLC
- Developmental Disabilities Clinic/Center
- Fredericksburg, VA
National Provider Identifier
1669201810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- PARENT SUPPORT SERVICES ESPECIALLY FOR YOU, LLC
- Practice address
- 620 Kenmore Ave Ste a
Fredericksburg, VA 22401-5723 - Phone
- (804) 313-7713
- NPI assigned
- Jul 27, 2024
- 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
- Tysha Renee Newton
- Title
- Owner
- Phone
- (804) 313-7713
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
620 Kenmore Ave Ste a
Fredericksburg, VA 22401-5723
Mailing address
620 Kenmore Ave Ste a
Fredericksburg, VA 22401-5723
Phone (804) 313-7713
Other names 1
- Especially for You, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
620 Kenmore Ave
Ste A
Fredericksburg, VA 22401
Phone (804) 313-7713
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Fredericksburg, VA
- NPI 1396560462
Developmental Disabilities
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722038400000",
"number": "1669201810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 KENMORE AVE STE A",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015723",
"telephone_number": "804-313-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 KENMORE AVE STE A",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015723",
"telephone_number": "804-313-7713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARENT SUPPORT SERVICES ESPECIALLY FOR YOU, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-27",
"last_updated": "2024-07-27",
"certification_date": "2024-07-27",
"status": "A",
"authorized_official_last_name": "NEWTON",
"authorized_official_first_name": "TYSHA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-313-7713"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Especially for You, LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.