NPIMap

Organization Active NPI

United Family Services

  • Counselor
  • Cornelius, NC
National Provider Identifier
1659510436
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
UNITED FAMILY SERVICES
Practice address
9624 Bailey Road,
Suite 290
Cornelius, NC 28031-6120
Phone
(704) 655-8745
Fax
(704) 655-0234
NPI assigned
Feb 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Mr. John K Jordan, LCSW
Title
VP, Clinical Services
Phone
(704) 367-2750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

9624 Bailey Road,
Suite 290
Cornelius, NC 28031-6120

Mailing address

9624 Bailey Road,
Suite 290
Cornelius, NC 28031-6120
Phone (704) 655-8745

Other identifiers 1

IdentifierTypeStateIssuer
6005756MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
United Family Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1659510436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9624 BAILEY ROAD,",
            "address_2": "SUITE 290",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316120",
            "telephone_number": "704-655-8745",
            "fax_number": "704-655-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9624 BAILEY ROAD,",
            "address_2": "SUITE 290",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316120",
            "telephone_number": "704-655-8745",
            "fax_number": "704-655-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP, CLINICAL SERVICES",
        "authorized_official_telephone_number": "704-367-2750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005756",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.