Organization Active NPI

Child and Family Support Services, Inc

  • Mental Health Counselor
  • Reading, PA
National Provider Identifier
1265407910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
209300 Issued in PA
Legal business name
CHILD AND FAMILY SUPPORT SERVICES, INC
Practice address
4 S 4TH St
Reading, PA 19602-1004
Phone
(610) 376-8558
NPI assigned
Feb 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chris Eleftherios, PH.D.
Title
Ceo
Phone
(610) 376-8558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 209300 PA Primary

Addresses

Primary practice location

4 S 4TH St
Reading, PA 19602-1004

Mailing address

4 S 4TH St
Reading, PA 19602-1004
Phone (610) 376-8558

Other identifiers 1

IdentifierTypeStateIssuer
1007782100006MedicaidPA

National Provider Directory

National Provider Directory

Locations

515 Old Swede Rd
Ste B8
Douglassville, PA 19518
Phone (610) 376-8558

2276 W Market St
Pottsville, PA 17901
Phone (570) 622-9860

437 N Centre St
Pottsville, PA 17901
Phone (570) 622-9860

4 S 4th St
Reading, PA 19602
Phone (610) 375-9501

4 S 4th St
Fl 2
Reading, PA 19602
Phone (610) 376-8558

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265407910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S 4TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021004",
            "telephone_number": "610-376-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S 4TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021004",
            "telephone_number": "610-376-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELEFTHERIOS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-376-8558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "209300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007782100006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.