NPIMap

Organization Active NPI

Children and Family Resources

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1699000968
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001270A Issued in IN
Legal business name
CHILDREN AND FAMILY RESOURCES
Practice address
2135 Hanna St
Fort Wayne, IN 46803-2401
Phone
(260) 452-5509
NPI assigned
Oct 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Ms. Joycinth Vivia Jones, MANPI 1932433760
Title
LMHC/Clinical Director
Phone
(260) 478-8073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 39001270A IN Primary

Addresses

Primary practice location

2135 Hanna St
Fort Wayne, IN 46803-2401

Mailing address

1812 Ardis St
Fort Wayne, IN 46819-1310

National Provider Directory

National Provider Directory

Locations

2135 S Hanna St
Fort Wayne, IN 46803
Phone (260) 452-5509

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1699000968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 ARDIS ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468191310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 HANNA ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468032401",
            "telephone_number": "260-452-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN AND FAMILY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOYCINTH",
        "authorized_official_middle_name": "VIVIA",
        "authorized_official_title_or_position": "LMHC/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "260-478-8073",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001270A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.