Concerted Care Group Fredericksburg LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CONCERTED CARE GROUP FREDERICKSBURG LLC

Practice address

282 Deacon Rd Ste 107
Fredericksburg, VA 22405-2113

Phone

(240) 813-9867

NPI assigned

Mar 31, 2023

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

CCG HOLDCO LLCAs reported in NPPES

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

Authorized official

Name

Keonna Armstrong

Title

VP of Revenue Cycle Management

Phone

(240) 813-9867

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Concerted Care Group Fredericksburg LLC2 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.

• Concerted Care Group Fredericksburg LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fredericksburg, VA
  • NPI 1770275307
  NPD tax ID

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.

• Joseph H. O'Leary, MD

  • Psychiatry Physician
  • Reisterstown, MD
  • NPI 1376689992
  NPD

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1962107979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 200",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666143",
            "telephone_number": "240-813-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 DEACON RD STE 107",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052113",
            "telephone_number": "240-813-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTED CARE GROUP FREDERICKSBURG LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCG HOLDCO LLC",
        "enumeration_date": "2023-03-31",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "KEONNA",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "240-813-9867"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Ann Compher
• Comprehensive Autism Partnership, Inc.
• Comprehensive Health Care, P.C.
• Comprehensive Sleep Care Center Inc (Comprehensive Sleep Care Center - Fredericksburg)
• Concerted Care Group Fredericksburg LLC
• Confidential Counseling LLC
• Seth Conley
• Connect 2 Care Home Health LLC
• Caroline F Conneen, NP
• Theresa Conologue, DO

• Community/Behavioral Health Agency in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.