NPIMap

Organization Active NPI

Success 4 Kids and Families, Inc

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1467513788
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1329AD353201 Issued in FL
Legal business name
SUCCESS 4 KIDS AND FAMILIES, INC
Practice address
2902 N Armenia Ave
Ste 200
Tampa, FL 33607-1660
Phone
(813) 490-5490
Fax
(813) 490-5495
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Pamela C Jeffre, LCSWNPI 1518255900
Title
Executive Director
Phone
(813) 871-7412

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X 1329AD353201 FL Primary

Addresses

Primary practice location

2902 N Armenia Ave
Ste 200
Tampa, FL 33607-1660

Mailing address

2902 N Armenia Ave
Ste 200
Tampa, FL 33607-1660
Phone (813) 490-5490

Other identifiers 2

IdentifierTypeStateIssuer
913554500MedicaidFL
008256400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Success 4 Kids and Families Inc2 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

2902 N Armenia Ave
Ste 200
Tampa, FL 33607
Phone (813) 404-3962

Practitioners & affiliated clinicians

Practitioners 3

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1467513788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 N ARMENIA AVE",
            "address_2": "STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071660",
            "telephone_number": "813-490-5490",
            "fax_number": "813-490-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 N ARMENIA AVE",
            "address_2": "STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071660",
            "telephone_number": "813-490-5490",
            "fax_number": "813-490-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS 4 KIDS AND FAMILIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "JEFFRE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-871-7412",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "1329AD353201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913554500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008256400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.