FAMILY SERVICES, INC. (NPI# 1124420757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124420757 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICES, INC. |
| Practice Address |
615 N 18th St Lafayette IN 47904-3410 |
| Practice Telephone | 7654235361 |
| Practice Fax Number | 7657428272 |
| Mailing Telephone | 7654235361 |
| Mailing Fax Number | 7657428272 |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |
| Authorized Official Name | REBECCA SULLIVAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7654235361 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 39934 | TX | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 33006734A | IN | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568009439 | Family Services, Inc. | Community/Behavioral Health | 630 E Diamond Ave, Gaithersburg, MD 20877-5322 | 2019-12-10 |
| 1659918522 | Family Services, Inc. | Community/Behavioral Health | 7401 Forbes Blvd Ste F, Lanham, MD 20706-2261 | 2019-12-10 |
| 1316939457 | Family Services, Inc. | Social Worker | 29 North Hamilton Street, Poughkeepsie, NY 12601 | 2005-08-16 |
| 1881218816 | Family Services, Inc. | Clinic/Center | 16220 Frederick Rd Ste 502, Gaithersburg, MD 20877-4022 | 2020-06-05 |
| 1922645266 | Family Services, Inc. | Clinic/Center | 610 E Diamond Ave Ste 100, Gaithersburg, MD 20877-5321 | 2019-12-05 |
| 1922436146 | Family Services, Inc. | Community/Behavioral Health | 610 E Diamond Ave, Suite 100, Gaithersburg, MD 20877-5321 | 2013-10-25 |
| 1417013848 | Family Services, Inc. | Community/Behavioral Health | 4925 Lacross Rd, Suite 215, North Charleston, SC 29406-6510 | 2006-12-29 |
| 1225108707 | Family Services, Inc. | Social Worker | 610 Coliseum Dr, Winston Salem, NC 27106-5325 | 2006-11-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FAMILY SERVICES, INC. | 2101 Court Street, Sioux City, IA 51104 |
| Street Address |
615 N 18TH ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740367291 | Rebecca Sullivan | Social Worker | 615 N 18th St, Suite 101, Lafayette, IN 47904-3410 | 2006-11-01 |
| 1033470356 | Tessa Garrow | Counselor | 615 N 18th St, Lafayette, IN 47904-3410 | 2012-06-04 |
| 1841559051 | Brianne L. Heyde Schutter | Marriage & Family Therapist | 615 N 18th St, Suite 201, Lafayette, IN 47904-3434 | 2012-05-08 |
| 1235409459 | Annette Garry Brehm | Counselor | 615 N 18th St, Lafayette, IN 47904-3434 | 2012-01-04 |
| 1982984670 | Jennifer Racich | Student in an Organized Health Care Education/Training Program | 615 N 18th St, Howarth Center, Suite 201, Lafayette, IN 47904-3434 | 2011-08-25 |
| 1053546143 | Mary Teresa Francisco | Counselor | 615 N 18th St, Lafayette, IN 47904-3434 | 2009-05-19 |
| 1689835597 | Gokce Bulgan | Student in an Organized Health Care Education/Training Program | 615 N 18th St, Howarth Center, Suite 201, Lafayette, IN 47904-3434 | 2008-06-23 |
| 1053501957 | Shannon Dale Polmateer | Counselor | 615 N 18th St, Suite 201, Lafayette, IN 47904 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333649 | Wanda Kaye's Heart | Community/Behavioral Health | 139b James Comeaux Rd # 563, Lafayette, LA 70508-3255 | 2020-10-16 |
| 1376151969 | Revived and Renewed Mental Health, LLC | Community/Behavioral Health | 4400 Ambassador Caffery Pkwy Ste A167, Lafayette, LA 70508-6760 | 2020-07-20 |
| 1316422470 | The Family Connection Inc. | Community/Behavioral Health | 116 Natchitoches Dr, Lafayette, LA 70506-7876 | 2018-09-25 |
| 1477032910 | Capitol Care, Inc. | Community/Behavioral Health | 22 Old Beaver Run Rd, Lafayette, NJ 07848-2004 | 2018-08-07 |
| 1265941595 | Benjamin White Psychotherapy, Pllc | Community/Behavioral Health | 601 S Longmont Ave, Lafayette, CO 80026-1539 | 2017-09-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1609237569 | K. Danielle Holmes, Lpc, LLC | Community/Behavioral Health | 143 Ridgeway Dr Ste 127, Lafayette, LA 70503-3414 | 2016-03-18 |
| 1588030571 | Chad Franks Counseling | Community/Behavioral Health | 143 Ridgeway Dr Ste 217, Lafayette, LA 70503-3410 | 2015-08-13 |
| 1497133508 | Mary F. Huval, Ncc, Lpc, LLC | Community/Behavioral Health | 850 Kaliste Saloom Rd Ste 204, Lafayette, LA 70508-4230 | 2015-05-08 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.