NPIMap

Organization Active NPI

Family Service Div of Goodwill Industries of Kyowva Area, Inc.

  • Community/Behavioral Health Agency
  • Huntington, WV
National Provider Identifier
1205058773
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY SERVICE DIV OF GOODWILL INDUSTRIES OF KYOWVA AREA, INC.
Doing business as
Family Service
Practice address
1102 Memorial Blvd. W.
Huntington, WV 25701
Phone
(304) 523-9545
Fax
(304) 525-7038
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Ms. Alissa Stewart
Title
Executive Director
Phone
(304) 523-9454

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 27907 WV
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 1678 WV
Community/Behavioral Health Agency 251S00000X WV Primary

Addresses

Primary practice location

1102 Memorial Blvd. W.
Huntington, WV 25701

Mailing address

1102 Memorial Blvd. W.
Huntington, WV 25701
Phone (304) 523-9545

Other identifiers 1

IdentifierTypeStateIssuer
1851371058OtherWVNPI GENERAL PRACTICE

Other names 1

  • Family Service Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Service3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1205058773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 MEMORIAL BLVD. W.",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-523-9545",
            "fax_number": "304-525-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 MEMORIAL BLVD. W.",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-523-9545",
            "fax_number": "304-525-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE DIV OF GOODWILL INDUSTRIES OF KYOWVA AREA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-523-9454",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WV",
            "license": "27907",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1678",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  GENERAL PRACTICE",
            "identifier": "1851371058",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.