Organization Active NPI

Family Service of Northwest Ohio

Doing business as Four County Family Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wauseon, OH
National Provider Identifier
1821059916
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
0180 Issued in OH
Legal business name
FAMILY SERVICE OF NORTHWEST OHIO
Doing business as
Four County Family Center
Practice address
7320 State Highway 108
Wauseon, OH 43567-8201
Phone
(419) 335-3732
Fax
(419) 335-3462
NPI assigned
Mar 29, 2006
Last updated
Aug 3, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY SERVICE OF NW OHIOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Mr. James E. Jones, ACSW
Title
President & Ceo
Phone
(419) 244-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0180 OH Primary

Addresses

Primary practice location

7320 State Highway 108
Wauseon, OH 43567-8201

Mailing address

701 Jefferson
Suite 301
Toledo, OH 43604
Phone (419) 244-5511

Other names 1

  • Four County Family Center Doing business as

National Provider Directory

National Provider Directory
Part of
Comprehensive Crisis Care

Locations

7320 State Route 108
Wauseon, OH 43567
Phone (419) 335-3462

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1821059916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 JEFFERSON",
            "address_2": "SUITE 301",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43604",
            "telephone_number": "419-244-5511",
            "fax_number": "419-321-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 STATE HIGHWAY 108",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435678201",
            "telephone_number": "419-335-3732",
            "fax_number": "419-335-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE OF NORTHWEST OHIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY SERVICE OF NW OHIO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "419-244-5511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "0180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four County Family Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauseon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.