NPIMap

Organization Active NPI

Positively Impacting Families LLC.

  • Adolescent and Children Mental Health Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1154102788
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
POSITIVELY IMPACTING FAMILIES LLC.
Practice address
6430 Mapledowns Dr
Fort Wayne, IN 46835-3935
Phone
(260) 582-1835
NPI assigned
Oct 10, 2023
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Alyssia BinionNPI 1457876575
Title
Owner
Phone
(260) 582-1835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary
Community Health Worker 172V00000X

Addresses

Primary practice location

6430 Mapledowns Dr
Fort Wayne, IN 46835-3935

Mailing address

6430 Mapledowns Dr
Fort Wayne, IN 46835-3935
Phone (260) 582-1835

National Provider Directory

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": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1154102788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 MAPLEDOWNS DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353935",
            "telephone_number": "260-582-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 MAPLEDOWNS DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353935",
            "telephone_number": "260-582-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVELY IMPACTING FAMILIES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "BINION",
        "authorized_official_first_name": "ALYSSIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-582-1835"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.