Organization Active NPI

Erie Family Center

  • Case Management Agency
  • Erie, PA
National Provider Identifier
1699396804
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ERIE FAMILY CENTER
Practice address
606 Raspberry St
Erie, PA 16502-1123
Phone
(814) 520-8214
Fax
(814) 528-5028
NPI assigned
Apr 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Kristen Costa
Title
Executive Director
Phone
(814) 520-8214

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

606 Raspberry St
Erie, PA 16502-1123

Mailing address

606 Raspberry St
Erie, PA 16502-1123
Phone (814) 520-8214

Other identifiers 1

IdentifierTypeStateIssuer
524644OtherPAOCDEL

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.eriefamilycenter.org
CONNECT URL www.eriefamilycenter.org

National Provider Directory

National Provider Directory

Locations

606 Raspberry St
Erie, PA 16502
Phone (814) 397-1256

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": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1699396804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 RASPBERRY ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021123",
            "telephone_number": "814-520-8214",
            "fax_number": "814-528-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 RASPBERRY ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021123",
            "telephone_number": "814-520-8214",
            "fax_number": "814-528-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-520-8214"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCDEL",
            "identifier": "524644",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.eriefamilycenter.org",
            "affiliation": "N",
            "address_1": "606 Raspberry St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165021123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.eriefamilycenter.org",
            "affiliation": "N",
            "address_1": "606 Raspberry St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165021123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.