Counseling & Family Centered Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COUNSELING & FAMILY CENTERED SERVICES, INC.

Practice address

951 N Linn Ave
Suite 3
New Hampton, IA 50659-1212

Phone

(641) 394-2505

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Kalista Elise Porath, RN, SANE

Title

Ceo

Phone

(641) 394-2505

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Anne Conrad, SED

  • School Counselor
  • Waucoma, IA
  • NPI 1619054764

  IA

  Medicare reassignment NPD

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1225401441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 N LINN AVE",
            "address_2": "SUITE 3",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506591212",
            "telephone_number": "641-394-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 N LINN AVE",
            "address_2": "SUITE 3",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506591212",
            "telephone_number": "641-394-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & FAMILY CENTERED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "PORATH",
        "authorized_official_first_name": "KALISTA",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-394-2505",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, SANE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012617",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chickasaw-Mitchell County Case Management
• Community Care, Inc
• Community Care, Inc.
• Comprehensive Systems, Inc.
• Kyle Conrad, LMHC
• County of Chickasaw
• County of Chickasaw
• County of Chickasaw
• County of Chickasaw
• Dental Associates

• All providers in New Hampton, IA
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.