NPIMap

Organization Active NPI

Abc Counseling and Family Services

  • Community/Behavioral Health Agency
  • Decatur, IL
National Provider Identifier
1689117640
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ABC COUNSELING AND FAMILY SERVICES
Practice address
1110 Arbor Dr
Ste C
Decatur, IL 62526-9285
Phone
(217) 877-9217
Fax
(217) 877-9218
NPI assigned
Nov 23, 2016
Last updated
Nov 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Melissa Box
Title
Billing Coordinator
Phone
(639) 451-9495

Specialties & licenses 1

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

Addresses

Primary practice location

1110 Arbor Dr
Ste C
Decatur, IL 62526-9285

Mailing address

1110 Arbor Dr
Ste C
Decatur, IL 62526-9285
Phone (217) 877-9217

Other identifiers 1

IdentifierTypeStateIssuer
2A00-IPI-175MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Abc Counseling Family Services11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1110 Arbor Dr
Ste C
Decatur, IL 62526
Phone (217) 877-9217

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1689117640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 ARBOR DR",
            "address_2": "STE C",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269285",
            "telephone_number": "217-877-9217",
            "fax_number": "217-877-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ARBOR DR",
            "address_2": "STE C",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269285",
            "telephone_number": "217-877-9217",
            "fax_number": "217-877-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC COUNSELING AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "639-451-9495"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2A00-IPI-175",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.