NPIMap

Organization Active NPI

Child & Family Support Service, Inc

  • Community/Behavioral Health Agency
  • Prescott Valley, AZ
National Provider Identifier
1730319450
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH3377 Issued in AZ
Legal business name
CHILD & FAMILY SUPPORT SERVICE, INC
Practice address
8652 E Eastridge Rd
Suite 103
Prescott Valley, AZ 86314-9462
Phone
(928) 775-2500
Fax
(928) 775-2800
NPI assigned
Jul 15, 2009
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Emily Luechtefeld
Title
Senior Director of Operations
Phone
(602) 400-0984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH3377 AZ Primary

Addresses

Primary practice location

8652 E Eastridge Rd
Suite 103
Prescott Valley, AZ 86314-9462

Mailing address

10439 S 51 St.
Suite 100
Phoenix, AZ 85044-5210
Phone (480) 635-9944

National Provider Directory

National Provider Directory
Tax ID family
Child Family Support Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

8652 E Eastridge Rd
Ste 103
Prescott Valley, AZ 86314
Phone (928) 775-2500

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1730319450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10439 S 51 ST.",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445210",
            "telephone_number": "480-635-9944",
            "fax_number": "480-635-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8652 E EASTRIDGE RD",
            "address_2": "SUITE 103",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149462",
            "telephone_number": "928-775-2500",
            "fax_number": "928-775-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & FAMILY SUPPORT SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "LUECHTEFELD",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "602-400-0984"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH3377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.