Organization Active NPI

Independent Family Services, Inc.

  • Community/Behavioral Health Agency
  • Johnstown, PA
National Provider Identifier
1275755936
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INDEPENDENT FAMILY SERVICES, INC.
Practice address
636 Scalp Ave
Johnstown, PA 15904-1640
Phone
(814) 262-0007
Fax
(814) 262-9887
NPI assigned
May 3, 2007
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Mr. Jeffrey S Walker, MA, MBA, LPC, MACNPI 1578839783
Title
Chief Operating Officer
Phone
(814) 262-0007

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

636 Scalp Ave
Johnstown, PA 15904-1640

Mailing address

636 Scalp Ave
Johnstown, PA 15904-1640
Phone (814) 262-0007

National Provider Directory

National Provider Directory

Locations

636 Scalp Ave
Johnstown, PA 15904
Phone (814) 262-0007

Practitioners & affiliated clinicians

Practitioners 3

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1275755936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041640",
            "telephone_number": "814-262-0007",
            "fax_number": "814-262-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041640",
            "telephone_number": "814-262-0007",
            "fax_number": "814-262-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "814-262-0007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, MBA, LPC, MAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.