Organization Active NPI

Family Partnership Associates

  • Social Worker
  • Libertyville, IL
National Provider Identifier
1265539449
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
149007796 Issued in IL
Legal business name
FAMILY PARTNERSHIP ASSOCIATES
Practice address
872 S Milwaukee Ave # 122
Libertyville, IL 60048-3227
Phone
(847) 816-3800
Fax
(847) 574-8193
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Jennifer H Leahy-JunasNPI 1982703591
Title
President
Phone
(847) 816-3800

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 149007796 IL Primary

Addresses

Primary practice location

872 S Milwaukee Ave # 122
Libertyville, IL 60048-3227

Mailing address

872 S Milwaukee Ave # 122
Libertyville, IL 60048-3227
Phone (847) 816-3800

Other identifiers 2

IdentifierTypeStateIssuer
4932239OtherILBLUE SHIELD ID
=========OtherILTAX ID

National Provider Directory

National Provider Directory
Tax ID family
Family Partnership Assoc2 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

121 W Park Ave
Libertyville, IL 60048
Phone (847) 553-1640

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1265539449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 S MILWAUKEE AVE # 122",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483227",
            "telephone_number": "847-816-3800",
            "fax_number": "847-574-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 S MILWAUKEE AVE # 122",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483227",
            "telephone_number": "847-816-3800",
            "fax_number": "847-574-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PARTNERSHIP ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "LEAHY-JUNAS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-816-3800"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149007796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID",
            "identifier": "4932239",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "=========",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.