NPIMap

Organization Active NPI

Family Service of Marion & Harrison Counties Inc

  • Community/Behavioral Health Agency
  • Fairmont, WV
National Provider Identifier
1144822073
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY SERVICE OF MARION & HARRISON COUNTIES INC
Practice address
1313 Locust Ave Ste 1
Fairmont, WV 26554-1517
Phone
(304) 366-4750
Fax
(304) 366-4753
NPI assigned
Nov 16, 2020
Last updated
Nov 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Carolyn Jones, MSW
Title
Executive Director
Phone
(304) 366-4750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1313 Locust Ave Ste 1
Fairmont, WV 26554-1517

Mailing address

1313 Locust Ave Ste 1
Fairmont, WV 26554-1517
Phone (304) 366-4750

Other practice location 1

445 W Main St Ste 212
Clarksburg, WV 26301-2843
Phone (304) 842-0200 ext. 1

National Provider Directory

National Provider Directory
Tax ID family
Family Service of Marion Harrison Counties Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1144822073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 LOCUST AVE STE 1",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541517",
            "telephone_number": "304-366-4750",
            "fax_number": "304-366-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 LOCUST AVE STE 1",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541517",
            "telephone_number": "304-366-4750",
            "fax_number": "304-366-4753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 W Main St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "WV",
            "postal_code": "263012843",
            "country_code": "US",
            "telephone_number": "304-842-0200 x1",
            "fax_number": "304-842-8341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY SERVICE OF MARION & HARRISON COUNTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-366-4750",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.