Active NPI
Feathers Behavioral Health Services, Inc
- Clinical Social Worker
- Rockford, IL
National Provider Identifier
1669818837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- FEATHERS BEHAVIORAL HEALTH SERVICES, INC
- Practice address
- 4320 Spring Creek Rd
Rockford, IL 61107-1175 - Phone
- (779) 200-2857
- Fax
- (888) 300-6201
- NPI assigned
- May 15, 2013
- 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
- Christine Blake Feathers, LCSW
- Title
- President & Ceo
- Phone
- (815) 494-4012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4320 Spring Creek Rd
Rockford, IL 61107-1175
Mailing address
4320 Spring Creek Rd
Rockford, IL 61107-1175
Phone (779) 200-2857
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368576000000",
"number": "1669818837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 SPRING CREEK RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611071175",
"telephone_number": "779-200-2857",
"fax_number": "888-300-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 SPRING CREEK RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611071175",
"telephone_number": "779-200-2857",
"fax_number": "888-300-6201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEATHERS BEHAVIORAL HEALTH SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-15",
"last_updated": "2013-05-15",
"status": "A",
"authorized_official_last_name": "FEATHERS",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "BLAKE",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "815-494-4012",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.