Organization Active NPI

Feathers Behavioral Health Services, Inc

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1669818837
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on May 15, 2013

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.