NPIMap

Organization Active NPI

The Family Place D/B/a TFP Services Therapeutic

  • Mental Health Counselor
  • Ontario, OR
National Provider Identifier
1467925420
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE FAMILY PLACE D/B/A TFP SERVICES THERAPEUTIC
Doing business as
TFP Therapeutic Services, Inc
Practice address
390 NE 2ND St.
Ontario, OR 97914
Phone
(541) 889-1050
Fax
(541) 889-6524
NPI assigned
Jan 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Ms. Tess D. Shellenbarger, LCPC(ID), LPC(OR)NPI 1083990832
Title
Exec Director
Phone
(541) 889-1050

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X

Addresses

Primary practice location

390 NE 2ND St.
Ontario, OR 97914

Mailing address

P.O. Box V, (Ontario)
390 NE 2ND St.
Ontario, OR 97914
Phone (541) 889-1050

Other identifiers 1

IdentifierTypeStateIssuer
805178300MedicaidID

Other names 1

  • TFP Therapeutic Services, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TFP Therapeutic Service 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

390 NE 2nd St
Ontario, OR 97914
Phone (541) 406-8647

Practitioners & affiliated clinicians

Practitioners 6

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": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1467925420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX V, (ONTARIO)",
            "address_2": "390 NE 2ND ST.",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "97914",
            "telephone_number": "541-889-1050",
            "fax_number": "541-889-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NE 2ND ST.",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "97914",
            "telephone_number": "541-889-1050",
            "fax_number": "541-889-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY PLACE D/B/A TFP SERVICES THERAPEUTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "SHELLENBARGER",
        "authorized_official_first_name": "TESS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "541-889-1050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC(ID), LPC(OR)"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805178300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TFP Therapeutic Services, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.