Family Empowerment Services LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

FAMILY EMPOWERMENT SERVICES LLC

Practice address

2630 Harmony Path
Saint Joseph, MI 49085-8298

Phone

(269) 759-8750

NPI assigned

Dec 16, 2016

Last updated

Dec 16, 2016By 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

John W Wells III, PSYD, MA, LLPNPI 1831675529

Title

Owner/Manager

Phone

(269) 759-8750

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 7

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.

• Melissa Pauline Clevenger, LLPC

  • Professional Counselor
  • Saint Joseph, MI
  • NPI 1386086445
  Medicare reassignment Care Compare group NPD
• Kendell L Casey, LMSW

  • Social Worker
  • Leavenworth, KS
  • NPI 1467703371

  MI

  Medicare reassignment Care Compare group NPD
• Sarah Elizabeth Frey, LMSW

  • Social Worker
  • Benton Harbor, MI
  • NPI 1538173968
  Medicare reassignment
• John W Wells

  • Clinical Psychologist
  • Benton Harbor, MI
  • NPI 1831675529
  NPD (past) Authorized official
• Julie Earle, LLCSW

  • Clinical Social Worker
  • Saint Joseph, MI
  • NPI 1780547562
  NPD
• Elias Ortega, LLMFT,LLPC

  • Marriage & Family Therapist
  • Baroda, MI
  • NPI 1538022058
  NPD
• Janene Marie Donarski, MSW

  • Psychologist
  • Saint Joseph, MI
  • NPI 1508993247

  Clinical

  NPD (past)

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1104360734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 HARMONY PATH",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858298",
            "telephone_number": "269-759-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 HARMONY PATH",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858298",
            "telephone_number": "269-759-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EMPOWERMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "269-759-8750",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PSYD, MA, LLP"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Cynthia Escobar, PT, DPT
• Eurisko Vocational Services, LLC (Eurisko Counseling, Training and Recovery)
• Madonna Fabian
• Fair Child PLC
• Elizabeth J Fairchild, LMSW-C
• Family Physicians of St. Joseph, P.C.
• Family Therapy & Development Centers Inc
• Family Vision Associates P.C.
• Joseph Adam Farber, M.D.
• Katie Helene Farrell, PA

• Clinical Child & Adolescent Psychologist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Clinical Child & Adolescent Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.