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FAIRWINDS-NANTUCKETS COUNSELING CENTER NPI 1275621385


NPI Information

NPI: 1275621385
Provider Name: FAIRWINDS-NANTUCKETS COUNSELING CENTER

Former Legal Business Name: FAMILY&CHILDREN'S SERVICES OF NANTUCKET COUNTY, INC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
20 VESPER LN
L-1 GOUIN VILLAGE
NANTUCKET, MA
ZIP 02554
Phone: (508) 228-2689
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FAIRWINDS-NANTUCKETS COUNSELING CENTER is a community behavioral health in Nantucket, MA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. FAIRWINDS-NANTUCKETS COUNSELING CENTER NPI is 1275621385. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Family&children's Services Of Nantucket County, Inc.

The provider's business location address is:

20 VESPER LN
L-1 GOUIN VILLAGE
NANTUCKET, MA
ZIP 02554-394
Phone: (508) 228-2689
Fax: (508) 228-3613

The provider's authorized official is Jason Bridges .
The authorized official title is Executive Director and has the following contact phone number (508) 228-2689.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 2/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)0549MASSACHUSETTSNo
2251S00000XCommunity/Behavioral Health0549MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M18553OTHERMASSACHUSETTSBLUE CROSS & BLUE SHIELD
21301721MEDICAIDMASSACHUSETTS
3329925OTHERMASSACHUSETTSHARVARD PILGRIM PPO
4M18553OTHERMASSACHUSETTSBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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