Organization Active NPI

Family Engagement & Support Services

  • Community/Behavioral Health Agency
  • Summerville, SC
National Provider Identifier
1710405121
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Sep 6, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.