NPIMap

Organization Active NPI

Family Service of Marion & Harrison Counties Inc

  • Community/Behavioral Health Agency
  • Fairmont, WV
National Provider Identifier
1679831044
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
129 Issued in WV
Legal business name
FAMILY SERVICE OF MARION & HARRISON COUNTIES INC
Practice address
1313 Locust Ave Ste 1
Fairmont, WV 26554-1517
Phone
(304) 366-4750
Fax
(304) 366-4753
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Mrs. Carolyn Jones, MSW, LSW
Title
Director
Phone
(304) 366-4750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 129 WV Primary

Addresses

Primary practice location

1313 Locust Ave Ste 1
Fairmont, WV 26554-1517

Mailing address

1313 Locust Ave Ste 1
Fairmont, WV 26554-1517
Phone (304) 366-4750

Other identifiers 2

IdentifierTypeStateIssuer
38100022723OtherWVMEDICAID TBI
1356455091MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Family Service of Marion Harrison Counties Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1679831044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 LOCUST AVE STE 1",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541517",
            "telephone_number": "304-366-4750",
            "fax_number": "304-366-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 LOCUST AVE STE 1",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541517",
            "telephone_number": "304-366-4750",
            "fax_number": "304-366-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE OF MARION & HARRISON COUNTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-366-4750",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TBI",
            "identifier": "38100022723",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356455091",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.