FAMILY SUPPORT NETWORK (NPI# 1669937504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669937504 |
| Entity Type | Organization |
| Organization Name | FAMILY SUPPORT NETWORK |
| Practice Address |
1894 N Main St Orange CA 92865-4117 |
| Practice Telephone | 7144473301 |
| Practice Fax Number | 7144473302 |
| Mailing Telephone | 7144473301 |
| Mailing Fax Number | 7144473302 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | PAMELA AUSTIN (CEO) |
| Authorized Official Telephone | 7144473301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
| 1922016146 | Family Support Network | Clinic/Center | 7514 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-08-03 |
| 1700911369 | Family Support Network | Case Management | 7514 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2007-02-23 |
| Street Address |
1894 N MAIN ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92865-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366489 | Kathryn Enslow | Behavior Technician | 3111 N. Tustin St. #100, Orange, CA 92865 | 2018-11-27 |
| 1992285167 | Victoria Barrientes | Behavior Technician | 3111 N. Tustiv Ave #100, Tustin, CA 92865 | 2018-08-17 |
| 1003263310 | Zhihong Acupuncture Clinic Co | Clinic/Center | 2950 N Glassell St, Suite B, Orange, CA 92865 | 2016-05-17 |
| 1962879387 | Charles C. Park D.d.s. A Professional Corporation | Dentist | 1518 E. Lincoln Ave., Orange, CA 92865 | 2015-09-02 |
| 1275913535 | David M. Datu | Dentist | 1107 E. Lincoln Ave, #201, Orange, CA 92865 | 2015-06-02 |
| 1114107505 | Life Hearing Inc. | Hearing Instrument Specialist | 1635 E. Lincoln Ave., Orange, CA 92865 | 2007-11-14 |
| 1013118488 | David M Datu Dds | Dentist | 1107 E Lincoln Ave, Suite #201, Orange, CA 92865 | 2007-05-31 |
| 1831222611 | Amini Dental Corporation | Dentist | 1916 N Tustin St, Orange, CA 92865 | 2007-03-13 |
| 1598811341 | Linda Rose Cook | Counselor | 202 W Lincoln Ave, Suite F, Orange, CA 92865 | 2007-01-26 |
| 1467525543 | Hee S Kwon | Acupuncturist | 1516 E Lincoln Ave, Orange, CA 92865 | 2006-11-16 |
| Find all providers in zip 92865 | ||||
| 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 |
|---|---|---|---|---|
| 1063061927 | Neighbours-inc | Community/Behavioral Health | 412 S Valley Rd Fl 2, Orange, NJ 07050-1323 | 2019-09-04 |
| 1518446905 | Alan Lawrence | Community/Behavioral Health | 339 Park Ave Apt 3e, Orange, NJ 07050-2867 | 2018-08-07 |
| 1851879688 | Jasmin Bahena | Community/Behavioral Health | 817 W Westway Ave, Orange, CA 92865-2533 | 2018-08-02 |
| 1891273223 | Berlyn Gasporra | Community/Behavioral Health | 270 W Sparkleberry Ave, Orange, CA 92865-5012 | 2018-07-28 |
| 1801244876 | Urban Truth LLC | Community/Behavioral Health | 402 Valley St, Orange, NJ 07050-1321 | 2016-05-31 |
| 1679953319 | Serenity Living Inc | Community/Behavioral Health | 29 William St, 1st Floor, Orange, NJ 07050-4010 | 2015-06-08 |
| 1245675818 | Acm, Inc. | Community/Behavioral Health | 265 S Anita Dr Ste 117, Orange, CA 92868-3341 | 2013-05-08 |
| 1073863056 | Illumination Foundation | Community/Behavioral Health | 1091 N Batavia St, Orange, CA 92867 | 2012-09-17 |
| 1598054728 | Recovery Innovations Inc | Community/Behavioral Health | 171 S Anita Dr, Suite 100, Orange, CA 92868-3319 | 2011-03-28 |
| 1124201462 | Cross Counter, Inc | Community/Behavioral Health | 399 Heywood Ave, Orange, NJ 07050-2006 | 2007-12-10 |
| Find all providers in ORANGE | ||||
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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.