NPIMap

Organization Active NPI

Family Therapy & Development Centers Inc

  • Mental Health Counselor
  • Saint Joseph, MI
National Provider Identifier
1295916187
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801087845 Issued in MI
Legal business name
FAMILY THERAPY & DEVELOPMENT CENTERS INC
Practice address
2460 Lakeshore Dr
Saint Joseph, MI 49085-1874
Phone
(269) 982-3832
Fax
(269) 281-0351
NPI assigned
Nov 19, 2007
Last updated
Apr 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Ms. Janene Marie Donarski, PHD, MSWNPI 1508993247
Title
Owner and Therapist
Phone
(269) 982-3832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 6802080845 MI
Mental Health Counselor 101YM0800X 6801087845 MI Primary

Addresses

Primary practice location

2460 Lakeshore Dr
Saint Joseph, MI 49085-1874

Mailing address

4384 Laurel Drive
St Joseph, MI 49085
Phone (269) 982-3832

Other identifiers 1

IdentifierTypeStateIssuer
62-79049MedicaidMI

National Provider Directory

National Provider Directory

Locations

4341 S Westnedge Ave
Ste 1103
Kalamazoo, MI 49008
Phone (269) 823-2675

4341 S Westnedge Ave
Ste 225
Kalamazoo, MI 49008

4415 Duke St
Ste 2W
Kalamazoo, MI 49008
Phone (269) 459-1272

517 Pleasant St
Ste B
Saint Joseph, MI 49085
Phone (269) 982-3821

830 Pleasant St
Ste 202
Saint Joseph, MI 49085

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1295916187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4384 LAUREL DRIVE",
            "city": "ST JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-982-3832",
            "fax_number": "269-281-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 LAKESHORE DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851874",
            "telephone_number": "269-982-3832",
            "fax_number": "269-281-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY THERAPY & DEVELOPMENT CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "DONARSKI",
        "authorized_official_first_name": "JANENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "269-982-3832",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD, MSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "6802080845",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801087845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62-79049",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.