FAMILY SERVICE OF MARION AND HARRISON COUNTIES (NPI# 1679831044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679831044 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE OF MARION AND HARRISON COUNTIES |
| Practice Address |
1313 Locust Ave Ste 1 Fairmont WV 26554-1517 |
| Practice Telephone | 3043664750 |
| Practice Fax Number | 3043664753 |
| Mailing Telephone | 3043664750 |
| Mailing Fax Number | 3043664753 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | MRS. CAROLYN JONES (DIRECTOR) |
| Authorized Official Telephone | 3043664750 |
| Authorized Official Credential | MSW, LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 129 | WV | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MEDICAID TBI | 38100022723 | 01 |
| WV | 1356455091 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942568316 | Family Service of Marion and Harrison Counties | Community/Behavioral Health | 1313 Locust Ave Ste 1, Fairmont, WV 26554-1517 | 2012-04-24 |
| 1215295688 | Family Service of Marion and Harrison Counties | Community/Behavioral Health | 1313 Locust Ave Ste 1, Fairmont, WV 26554-1517 | 2012-04-24 |
| 1023383452 | Family Service of Marion and Harrison Counties | Home Health | 1313 Locust Ave, Suite 1, Fairmont, WV 26554-1517 | 2012-03-19 |
| Street Address |
1313 LOCUST AVE STE 1 |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942568316 | Family Service of Marion and Harrison Counties | Community/Behavioral Health | 1313 Locust Ave Ste 1, Fairmont, WV 26554-1517 | 2012-04-24 |
| 1437760832 | Candace Golaszewski | Case Manager/Care Coordinator | 1313 Locust Ave Ste 1, Fairmont, WV 26554-1517 | 2020-08-11 |
| 1215295688 | Family Service of Marion and Harrison Counties | Community/Behavioral Health | 1313 Locust Ave Ste 1, Fairmont, WV 26554-1517 | 2012-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| 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 |
|---|---|---|---|---|
| 1275076374 | Live.well LLC | Community/Behavioral Health | 517 Fairmont Ave, Fairmont, WV 26554-5101 | 2016-11-22 |
| 1013459627 | Synergy Integrative Counseling Services LLC | Community/Behavioral Health | 379 Dean Dr, Fairmont, WV 26554-8858 | 2016-11-14 |
| 1851728646 | Professional Christian Counseling Services | Community/Behavioral Health | 102 Ridgeview Dr, Fairmont, WV 26554-8303 | 2013-10-11 |
| 1942568316 | Family Service of Marion and Harrison Counties | Community/Behavioral Health | 1313 Locust Ave Ste 1, Fairmont, WV 26554-1517 | 2012-04-24 |
| 1932338365 | Heather Mcdonnell-stalnaker, Lpc, LLC | Community/Behavioral Health | 701 Benoni Avenue Suite 302, Hutchinson Professional Suites, Fairmont, WV 26554 | 2009-07-07 |
| 1477796639 | Pathways Therapeutic Group, Inc | Community/Behavioral Health | 2268 Marion Stage Rd, Fairmont, NC 28340-7580 | 2009-04-16 |
| 1336351469 | National Youth Advocate Program | Community/Behavioral Health | 1036 Speedway Avenue, Suite 2, Fairmont, WV 26554 | 2007-05-03 |
| 1568861110 | Essential Needs Homecare | Community/Behavioral Health | 2019 Pleasant Valley Rd, Fairmont, WV 26554-9295 | 2014-08-20 |
| 1215295688 | Family Service of Marion and Harrison Counties | Community/Behavioral Health | 1313 Locust Ave Ste 1, Fairmont, WV 26554-1517 | 2012-04-24 |
| 1922307800 | Rha Health Services Nc, LLC | Community/Behavioral Health | 104 E Gertrude St, Fairmont, NC 28340-1802 | 2011-03-18 |
| Find all providers in FAIRMONT | ||||
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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.