Family Services of the Merrimack Valley, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FAMILY SERVICES OF THE MERRIMACK VALLEY, INC.

Practice address

430 N Canal St
Lawrence, MA 01840-1246

Phone

(978) 327-6600

NPI assigned

Nov 1, 2024

Organization subpart

No

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

Authorized official

Name

Krystal Dunn

Title

Clinical Director

Phone

(978) 327-6600

Specialties & licenses 1

Addresses

Tax ID family

Family Service Inc3 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.

• Family Service, Inc.

  • Community/Behavioral Health Agency
  • Lawrence, MA
  • NPI 1043544232
  NPD tax ID
• Family Services of the Merrimack Valley, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawrence, MA
  • NPI 1679680615
  NPD tax ID

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1508689399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N CANAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N CANAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401246",
            "telephone_number": "978-327-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES OF THE MERRIMACK VALLEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "978-327-6600"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Fabian
• Faithful Healthcare Services, LLC
• Moheb Faltas
• Rosa G Familia
• Family Service, Inc.
• Family Services of the Merrimack Valley, Inc.
• Jennifer Gale Faries, M.A.
• Colleen Farley, PMHNP-BC
• Jason Faro Sr., MS
• David Farzan, MD

• Mental Health Counselor in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.