NPIMap

Organization Active NPI

Family Services of Northwest Ohio

  • Community/Behavioral Health Agency
  • Wauseon, OH
National Provider Identifier
1477746451
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C.0500030 Issued in OH
Legal business name
FAMILY SERVICES OF NORTHWEST OHIO
Practice address
7320 State Highway 108 Ste a
Wauseon, OH 43567-8201
Phone
(419) 335-3732
Fax
(419) 335-3462
NPI assigned
Aug 22, 2007
Last updated
Aug 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Mr. Brent D Shaffer, PC
Title
Licensed Counselor
Phone
(419) 335-3732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C.0500030 OH Primary

Addresses

Primary practice location

7320 State Highway 108 Ste a
Wauseon, OH 43567-8201

Mailing address

7320 State Highway 108 Ste a
Wauseon, OH 43567-8201
Phone (419) 335-3732

National Provider Directory

National Provider Directory
Tax ID family
Family Service of North7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1477746451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 STATE HIGHWAY 108 STE A",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435678201",
            "telephone_number": "419-335-3732",
            "fax_number": "419-335-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 STATE HIGHWAY 108 STE A",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435678201",
            "telephone_number": "419-335-3732",
            "fax_number": "419-335-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES OF NORTHWEST OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED COUNSELOR",
        "authorized_official_telephone_number": "419-335-3732",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "C.0500030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauseon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.