NPIMap

Organization Active NPI

Family Pride Incorporated

  • Mental Health Counselor
  • Chardon, OH
National Provider Identifier
1164488706
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I9650 Issued in OH
Legal business name
FAMILY PRIDE INCORPORATED
Practice address
100 Parker CT
Chardon, OH 44024-1141
Phone
(440) 286-1553
NPI assigned
Apr 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Mr. Jim McCauley
Title
President
Phone
(440) 286-1553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X I9650 OH Primary

Addresses

Primary practice location

100 Parker CT
Chardon, OH 44024-1141

Mailing address

100 Parker CT
Chardon, OH 44024-1141
Phone (440) 286-1553

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1145750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1164488706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARKER CT",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241141",
            "telephone_number": "440-286-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARKER CT",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241141",
            "telephone_number": "440-286-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRIDE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-23",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-286-1553",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I9650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.