NPIMap

Organization Active NPI

Jewish Family Services

  • Mental Health Counselor
  • Providence, RI
National Provider Identifier
1588673347
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JEWISH FAMILY SERVICES
Practice address
1165 N Main St
Providence, RI 02904-5740
Phone
(401) 331-1244
Fax
(401) 331-5772
NPI assigned
Aug 7, 2006
Last updated
Sep 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Merelise A Hitte
Title
Cfo
Phone
(401) 331-1244

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1165 N Main St
Providence, RI 02904-5740

Mailing address

1165 N Main St
Providence, RI 02904-5740
Phone (401) 331-1244

Other identifiers 5

IdentifierTypeStateIssuer
JF12450MedicaidRI
JF12893MedicaidRI
101YM0800XMedicaidRI
9009457MedicaidRI
332B00000XMedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Providence

National Provider Directory

National Provider Directory
Tax ID family
Jewish Collaborative Services2 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.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1588673347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045740",
            "telephone_number": "401-331-1244",
            "fax_number": "401-331-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045740",
            "telephone_number": "401-331-1244",
            "fax_number": "401-331-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "HITTE",
        "authorized_official_first_name": "MERELISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-331-1244"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JF12450",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JF12893",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YM0800X",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9009457",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332B00000X",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Providence",
            "affiliation": "N",
            "address_1": "1165 N Main St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029045740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.