Organization Active NPI

Carolina Family Services, Inc.

  • Community/Behavioral Health Agency
  • Greenville, SC
National Provider Identifier
1629136098
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAROLINA FAMILY SERVICES, INC.
Practice address
301 Anderson St
Greenville, SC 29601-4022
Phone
(864) 269-5766
Fax
(864) 269-5767
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Dr. Jennifer Brooks, PH.D.
Title
Executive Director
Phone
(864) 269-5766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

301 Anderson St
Greenville, SC 29601-4022

Mailing address

301 Anderson Street
Greenville, SC 29601

Other identifiers 1

IdentifierTypeStateIssuer
CBT019MedicaidSC

National Provider Directory

National Provider Directory

Locations

301 Anderson St
Greenville, SC 29601
Phone (864) 283-0637

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1629136098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ANDERSON STREET",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDERSON ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014022",
            "telephone_number": "864-269-5766",
            "fax_number": "864-269-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-269-5766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CBT019",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.