Active NPI
Family Engagement & Support Services
- Community/Behavioral Health Agency
- Summerville, SC
National Provider Identifier
1710405121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FAMILY ENGAGEMENT & SUPPORT SERVICES
- Practice address
- 1043 Cobblestone Blvd
Summerville, SC 29486-2083 - Phone
- (843) 781-3468
- Fax
- (843) 781-3468
- NPI assigned
- Sep 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Alisha Simmons
- Title
- Chief Executive Officer
- Phone
- (843) 781-3468
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1043 Cobblestone Blvd
Summerville, SC 29486-2083
Mailing address
1317M N Main St Ste 318
Summerville, SC 29483-7307
Phone (843) 620-1570
National Provider Directory
National Provider DirectoryLocations
1317M N Main St
Ste 318
Summerville, SC 29483
Phone (843) 620-1570
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Summerville, SC
- NPI 1942714365
-
- Case Management Agency
- Summerville, SC
- NPI 1922518430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1504656000000",
"number": "1710405121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317M N MAIN ST STE 318",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294837307",
"telephone_number": "843-620-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1043 COBBLESTONE BLVD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294862083",
"telephone_number": "843-781-3468",
"fax_number": "843-781-3468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY ENGAGEMENT & SUPPORT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-06",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "ALISHA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "843-781-3468",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.