NPIMap

Organization Active NPI

Family Services, Inc.

  • Community/Behavioral Health Agency
  • Lafayette, IN
National Provider Identifier
1124420757
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
33006734A Issued in IN
Legal business name
FAMILY SERVICES, INC.
Practice address
615 N 18TH St
Lafayette, IN 47904-3410
Phone
(765) 423-5361
Fax
(765) 742-8272
NPI assigned
Sep 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Rebecca Sullivan, LCSW
Title
Chief Executive Officer
Phone
(765) 423-5361

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 33006734A IN Primary
Community/Behavioral Health Agency 251S00000X 39934 TX

Addresses

Primary practice location

615 N 18TH St
Lafayette, IN 47904-3410

Mailing address

615 N 18TH St
Lafayette, IN 47904-3410
Phone (765) 423-5361

National Provider Directory

National Provider Directory
Tax ID family
Family Services Inc2 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.

Locations

615 N 18th St
Lafayette, IN 47904
Phone (765) 423-5361

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1124420757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N 18TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043410",
            "telephone_number": "765-423-5361",
            "fax_number": "765-742-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N 18TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043410",
            "telephone_number": "765-423-5361",
            "fax_number": "765-742-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "765-423-5361",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "33006734A",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "39934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.