Organization Active NPI

Just 4 You Family Support Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Bohemia, NY
National Provider Identifier
1275049884
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
JUST 4 YOU FAMILY SUPPORT SERVICES, LLC
Practice address
608 Johnson Ave Ste 2
Bohemia, NY 11716-2690
Phone
(631) 575-8062
NPI assigned
Dec 19, 2017
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mr. Kenrick Alfred, CASAC-T, CAMS IINPI 1255844460
Title
Chairman of the Board
Phone
(631) 575-8062

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
Addiction (Substance Use Disorder) Counselor 101YA0400X NY Primary

Addresses

Primary practice location

608 Johnson Ave Ste 2
Bohemia, NY 11716-2690

Mailing address

608 Johnson Ave Ste 2
Bohemia, NY 11716-2690
Phone (631) 575-8062

National Provider Directory

National Provider Directory

Locations

608 Johnson Ave
Ste 2
Bohemia, NY 11716
Phone (631) 575-8062

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1275049884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 JOHNSON AVE STE 2",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162690",
            "telephone_number": "631-575-8062",
            "fax_number": "631-761-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 JOHNSON AVE STE 2",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162690",
            "telephone_number": "631-575-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST 4 YOU FAMILY SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ALFRED",
        "authorized_official_first_name": "KENRICK",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "631-575-8062",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CASAC-T, CAMS II"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.