Active NPI
Family Service Asociation of the Wabash Valley, Inc.
- Mental Health Counselor
- Terre Haute, IN
National Provider Identifier
1811002769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FAMILY SERVICE ASOCIATION OF THE WABASH VALLEY, INC.
- Practice address
- 1111 Wabash Ave
Terre Haute, IN 47807-3211 - Phone
- (812) 232-4349
- Fax
- (812) 232-2308
- NPI assigned
- Aug 20, 2006
- Last updated
- Apr 28, 2016
- 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. Janet A McBride, LCSW, LCAC
- Title
- Executive Director
- Phone
- (812) 232-4349
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1111 Wabash Ave
Terre Haute, IN 47807-3211
Mailing address
1111 Wabash Ave
Terre Haute, IN 47807-3211
Phone (812) 232-4349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200232410A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
1111 Wabash Ave
Terre Haute, IN 47807
Phone (812) 232-4349
619 Cherry St
Terre Haute, IN 47807
Phone (812) 232-4349
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Clinical Social Worker
- Terre Haute, IN
- NPI 1376862409
-
- Mental Health Counselor
- Terre Haute, IN
- NPI 1053704239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461801600000",
"number": "1811002769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 WABASH AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478073211",
"telephone_number": "812-232-4349",
"fax_number": "812-232-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 WABASH AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478073211",
"telephone_number": "812-232-4349",
"fax_number": "812-232-2308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY SERVICE ASOCIATION OF THE WABASH VALLEY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2016-04-28",
"status": "A",
"authorized_official_last_name": "MCBRIDE",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "812-232-4349",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW, LCAC"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200232410A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
- Familia Dental Terre Haute LLC (Vivid Smiles)
- Family Denture Clinic Inc (Renee DuChane DDS)
- Family First Vision Care Kentucky, LLC
- Family Healthcare Plus LLC
- Family Medicine of Terre Haute, LLC
- Family Service Association of the Wabash Valley
- Andrew S Farber, M.D.
- Cami Renee Farmer
- Muhammad Farooqui, MD
- Anita Gail Farrell, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.