NPIMap

Organization Active NPI

Integrated Services for Behavioral Health

  • Community/Behavioral Health Agency
  • Nelsonville, OH
National Provider Identifier
1205196201
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTEGRATED SERVICES FOR BEHAVIORAL HEALTH
Practice address
1950 Mount Saint Marys Dr
Nelsonville, OH 45764-1280
Phone
(740) 644-9872
Fax
(833) 733-8327
NPI assigned
May 23, 2012
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Samantha Shafer, LISW-SNPI 1528490505
Title
Ceo
Phone
(740) 644-9872

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 1

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

Addresses

Primary practice location

1950 Mount Saint Marys Dr
Nelsonville, OH 45764-1280

Mailing address

PO Box 132
Athens, OH 45701-0132
Phone (740) 644-9872

Other identifiers 1

IdentifierTypeStateIssuer
2916894MedicaidOH

Other names 1

  • Integrated Services of Appalachian Ohio Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Integrated Services for Behavioral Health2 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

531 E Main St
Chillicothe, OH 45601

605 General Hartinger Pkwy
Middleport, OH 45760
Phone (833) 733-8327

Practitioners & affiliated clinicians

Practitioners 310

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.

View all 310

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1205196201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457010132",
            "telephone_number": "740-644-9872",
            "fax_number": "833-733-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MOUNT SAINT MARYS DR",
            "city": "NELSONVILLE",
            "state": "OH",
            "postal_code": "457641280",
            "telephone_number": "740-644-9872",
            "fax_number": "833-733-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SERVICES FOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-644-9872",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2916894",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Services of Appalachian Ohio Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Nelsonville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.