FAMILY SERVICE ASSOCIATION
NPI 1063442390
Clinic/Center - Adult Mental Health in Moraine, OH

Q: What is Family Service Association's NPI number?

The NPI number for Family Service Association is 1063442390. It was assigned to this organization in the NPPES registry on July 3, 2006.

Q: What is Family Service Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since July 03, 2006

2211 ARBOR BLVD, MORAINE, OH 45439(937) 222-9481(937) 222-3710 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 26, 2025, Aug 22, 2020 (2 updates tracked since 2020).

On this page

About Family Service Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY SERVICE ASSOCIATION (NPI 1063442390) is a healthcare organization registered as an adult mental health in Moraine, Ohio and active in the NPI registry since July 2006. The organization lists Bonnie R. Parish, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063442390

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameFAMILY SERVICE ASSOCIATION

Location Address2211 ARBOR BLVDMoraine, OH 45439-1521

Mailing Address2211 Arbor BlvdMoraine, OH 45439-1521 · (937) 222-9481 · Fax (937) 222-3710

Phone(937) 222-9481

Fax(937) 222-3710

Organization SubpartNo

Authorized OfficialBonnie R. ParishExecutive Director · (937) 222-9481

Enumeration DateJuly 3, 2006

Last NPPES UpdateJune 26, 20252 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1063442390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

2211 ARBOR BLVD, Moraine, OH 45439

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Other Identifiers 1

MedicaidMC34-16OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Service Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Family Service Association, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Joanna White, LSW

Clinical Social Worker

NPI 1649796004

2211 ARBOR BLVD
Moraine, OH 45439

(937) 222-9481

✔ PECOS✔ Accepts MedicareSame address

Bonnie Parish, LISW-W/BCD

Clinical Social Worker

NPI 1003100207

2211 ARBOR BLVD
Moraine, OH 45439

(937) 222-9481

✔ PECOS✔ Accepts MedicareSame address

Polly Vaughan, CRNP

Nurse Practitioner

NPI 1063609287

140 FAIRWAY DR
Wilmington, OH 45177

(937) 974-5591

✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Service Association's NPI number?

The NPI number for Family Service Association is 1063442390. It was assigned to this organization in the NPPES registry on July 3, 2006.

Where is Family Service Association located?

Family Service Association is located at 2211 Arbor Blvd, Moraine, OH 45439. The listed phone number is (937) 222-9481.

What is Family Service Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Family Service Association enrolled in Medicare?

Yes. Family Service Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Service Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Family Service Association, in Clinical Social Worker and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Family Service Association accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Family Service Association as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Service Association was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.