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FCCR FREDERICKSBURG
NPI 1356854277
Clinic/Center - Methadone in Fredericksburg, VA

Active since November 14, 2017CLIA 49D2138123 · Waiver
11720 MAIN ST STE 108, FREDERICKSBURG, VA 22408(540) 735-9350 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2023, Jan 16, 2020, May 23, 2018 and 1 more (4 updates tracked since 2017).

About Fccr Fredericksburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FCCR FREDERICKSBURG (NPI 1356854277) is a healthcare organization registered as a methadone in Fredericksburg, Virginia and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through October 9, 2027 and lists Robyn Tanis, Executive Director Of Contract Mgmt, as its authorized official.

NPPES Registry Identity

NPI1356854277
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePINNACLE TREATMENT CENTERS VA-I, LLC
Location Address11720 MAIN ST STE 108Fredericksburg, VA 22408
Mailing Address1317 Route 73Mount Laurel, NJ 08054-2202 · (856) 533-8762
Phone(540) 735-9350
Organization SubpartNo
Authorized OfficialRobyn TanisExecutive Director Of Contract Mgmt · (856) 533-8762
Enumeration DateNovember 14, 2017
Last NPPES UpdateNovember 21, 20234 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1356854277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Recovery CareTaxonomy 261QR0800X
11720 MAIN ST STE 108, Fredericksburg, VA 22408
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Other Names 1

Doing Business AsFccr Fredericksburg

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2138123

Pinnacle Treatment Centers Va-I LLC, D/B/A Fccr Fredericksburg · Fredericksburg, VA
Active · expires Oct 9, 2027
CLIA Number49D2138123
Laboratory TypeAlcohol & Drug Txt Svcs
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorMitchell I. Burken
Laboratory Phone(540) 735-9350
Laboratory LocationPinnacle Treatment Centers Va-I LLC, D/B/A Fccr Fredericksburg11720 Main Street - Suite 108, Fredericksburg, VA 22408
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
548 services25 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
302 services15 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MITCHELL IRA BURKEN MD
Internal Medicine (Addiction Medicine)
11720 MAIN ST STE 108
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 735-9350
HEAVEN BAILEY-HOGAN LCSW
Social Worker (Clinical)
11720 MAIN ST STE 108
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 735-9350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pinnacle Treatment Centers Va-I, LLC's NPI number?

The NPI number for Pinnacle Treatment Centers Va-I, LLC is 1356854277. It was assigned to this organization in the NPPES registry on November 14, 2017. The provider is doing business as Fccr Fredericksburg.

Where is Pinnacle Treatment Centers Va-I, LLC located?

Pinnacle Treatment Centers Va-I, LLC is located at 11720 Main St Ste 108, Fredericksburg, VA 22408. The listed phone number is (540) 735-9350.

What is Pinnacle Treatment Centers Va-I, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Pinnacle Treatment Centers Va-I, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2138123) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pinnacle Treatment Centers Va-I, LLC was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.