Evangelical Child and Family Agency

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

006726-11 Issued in IL

Legal business name

EVANGELICAL CHILD AND FAMILY AGENCY

Practice address

2240 W Ogden Ave
Chicago, IL 60612-4881

Phone

(312) 421-6200

Fax

(312) 421-6298

NPI assigned

Sep 9, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Kenton J Withrow, LCSW

Title

Executive Director

Phone

(639) 653-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ECFA Counseling Centers Doing business as

Tax ID family

Ecfa Counseling Centers3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Evangelical Child and Family Agency

  • Foster Care Agency
  • Wheaton, IL
  • NPI 1114205853
  NPD tax ID
• Evangelical Child and Family Agency

  • Voluntary or Charitable Agency
  • Wheaton, IL
  • NPI 1861571184
  NPD tax ID

Locations

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1508147109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873584",
            "telephone_number": "630-653-6400",
            "fax_number": "630-653-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 W OGDEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124881",
            "telephone_number": "312-421-6200",
            "fax_number": "312-421-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELICAL CHILD AND FAMILY AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "WITHROW",
        "authorized_official_first_name": "KENTON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "639-653-6400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IL",
            "license": "006726-11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2BO5IPI16",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECFA Counseling Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eustress Therapy and Wellness
• Eva Grosz Counseling LLC
• Eva M Ledoux LCPC, LLC
• Eva Mae Recovery Hope Inc.
• Eva Mae Recovery Hope Inc.
• Camilo Evangelista, PT
• Christina Maria Evangelista, PHARMD
• Deeva Alexa Evangelista
• Evangelene Evangelista, COTA/L
• Joni Evangelista

• Foster Care Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Foster Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.