Integrated Services for Behavioral Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INTEGRATED SERVICES FOR BEHAVIORAL HEALTH

Practice address

1950 Mount Saint Marys Dr
Nelsonville, OH 45764-1280

Phone

(740) 644-9872

Fax

(833) 733-8327

NPI assigned

Apr 19, 2006

Last updated

Feb 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Shafer, LISW-S

Title

Ceo

Phone

(740) 644-9872

Specialties & licenses 1

Addresses

Other names 1

• INTEGRATED SERVICES OF APPALACHIAN OHIO, INC. Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Integrated Services for Behavioral Health2 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.

• Integrated Services for Behavioral Health

  • Community/Behavioral Health Agency
  • Nelsonville, OH
  • NPI 1205196201
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/isaoh/r4/

Practitioners 940

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.

• Danielle L Ball, LSW

  • Clinical Social Worker
  • Chillicothe, OH
  • NPI 1881112662
  Medicare reassignment Care Compare group NPD
• Amanda N Birch, LPCC, ATR-BC

  • Professional Counselor
  • Columbus, OH
  • NPI 1588094742
  Medicare reassignment Care Compare group NPD
• Courtney B Bishop, LSW

  • Clinical Social Worker
  • Athens, OH
  • NPI 1760909725
  Medicare reassignment Care Compare group NPD
• Kimberly Ann Brozak, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Athens, OH
  • NPI 1568801975
  Medicare reassignment Care Compare group NPD
• Bailey Collins

  • Clinical Social Worker
  • Athens, OH
  • NPI 1750863932
  Medicare reassignment Care Compare group NPD
• Lori Catherine Crawford-Ricker

  • Clinical Social Worker
  • Lancaster, OH
  • NPI 1861986382
  Medicare reassignment Care Compare group NPD
• Thomas Crook, LSW

  • Social Worker
  • Columbus, OH
  • NPI 1730726415

  Clinical

  Medicare reassignment Care Compare group NPD
• Felicia Lynn Croston, LSW

  • Social Worker
  • Zanesville, OH
  • NPI 1710254750

  Clinical

  Medicare reassignment Care Compare group NPD
• Katherine Daniels, LISW

  • Clinical Social Worker
  • Athens, OH
  • NPI 1174039812
  Medicare reassignment Care Compare group NPD
• Rebecca Michelle Fannin, CT, LCDC III

  • Professional Counselor
  • Jackson, OH
  • NPI 1578090759
  Medicare reassignment Care Compare group NPD
• Mary Elizabeth Flum, PH.D.

  • Professional Counselor
  • Athens, OH
  • NPI 1982002093
  Medicare reassignment Care Compare group NPD
• Clayton Fraunfelter, LISW

  • Clinical Social Worker
  • Athens, OH
  • NPI 1700384153
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1073578431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457010132",
            "telephone_number": "740-644-9872",
            "fax_number": "833-733-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MOUNT SAINT MARYS DR",
            "city": "NELSONVILLE",
            "state": "OH",
            "postal_code": "457641280",
            "telephone_number": "740-644-9872",
            "fax_number": "833-733-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SERVICES FOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-644-9872",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRATED SERVICES OF APPALACHIAN OHIO, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "INTEGRATED SERVICES OF APPALACHIAN OHIO, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hopewell Health Centers Inc
• Hopewell Health Centers, Inc.
• Hopewell Health Centers, Inc.
• Hopewell Health Centers, Inc.
• Kayla Ranee Hopkins
• Integrated Services for Behavioral Health
• Diane Jayjohn
• Madyson Rae Jeffries, DENTAL ASST.
• Katelyn D Johnson, LISW
• Brian Jolley, QMHS3

• Clinical Social Worker in Nelsonville, OH
• Providers in Nelsonville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.