Family Shelter Service

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FAMILY SHELTER SERVICE

Practice address

605 E Roosevelt Rd
Wheaton, IL 60187-5568

Phone

(630) 221-8290

Fax

(630) 221-8098

NPI assigned

Jul 31, 2013

Last updated

Jul 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lauren Keppel, LCSW

Title

Counseling Center Coordinator

Phone

(630) 221-8290

Specialties & licenses 1

Addresses

Other names 1

• A New Leaf Counseling Center Other name

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1245662337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875568",
            "telephone_number": "630-221-8290",
            "fax_number": "630-221-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875568",
            "telephone_number": "630-221-8290",
            "fax_number": "630-221-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SHELTER SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "KEPPEL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "COUNSELING CENTER COORDINATOR",
        "authorized_official_telephone_number": "630-221-8290",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A New Leaf Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vincent B Fagin Jr, L.M.F.T., L.C.P.C.
• Leslie Fajardo
• Oluwatumise Falana
• Patrick Joseph Fallon
• Deanna Falzone, OTA
• Mary Layannah Fantozzi, M.S., CCC-SLP/L
• Elizabeth Farber, APRN
• Katherine Grace Farenkopf
• Chloe Ann Faris
• Joanna Farley

• Community/Behavioral Health Agency in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.