Active NPI
Family&Youth Services
- Case Management Agency
- Durham, NC
National Provider Identifier
1609997386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- MHL032328
- Legal business name
- FAMILY&YOUTH SERVICES
- Practice address
- 127W S Main St
Durham, NC 27850 - Phone
- (252) 586-7453
- NPI assigned
- Apr 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Ford
- Title
- President
- Phone
- (919) 680-2345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | MHL032328 | NC | Primary |
Addresses
Primary practice location
127W S Main St
Durham, NC 27850
Mailing address
331 W. Main St. Ste 611
Durham, NC 27701
Phone (919) 680-2345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301559 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
102 E Main St
Durham, NC 27701
Phone (919) 608-2345
127 W South Main St
Littleton, NC 27850
Phone (252) 586-7453
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Goldsboro, NC
- NPI 1649386632
-
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
- NPI 1073788220
-
- Mental Health Counselor
- Woodland, NC
- NPI 1225194012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609997386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 W. MAIN ST. STE 611",
"city": "DURHAM",
"state": "NC",
"postal_code": "27701",
"telephone_number": "919-680-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127W S MAIN ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "27850",
"telephone_number": "252-586-7453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY&YOUTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-680-2345"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NC",
"license": "MHL032328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301559",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.