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FAMILY LIFE MINISTRIES INC
NPI 1124772637
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bath, NY

Active since February 04, 2022
7634 CAMPBELL CREEK RD, BATH, NY 14810(607) 776-4151(607) 776-2969 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Life Ministries Inc NPPES

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

FAMILY LIFE MINISTRIES INC (NPI 1124772637) is a healthcare organization registered as a mental health (including community mental health center) in Bath, New York and active in the NPI registry since February 2022. The organization lists Barbara C Short, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1124772637
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameFAMILY LIFE MINISTRIES INC
Location Address7634 CAMPBELL CREEK RDBath, NY 14810-7612
Mailing AddressPo Box 506Bath, NY 14810-0506 · (607) 776-4151 · Fax (607) 776-2969
Phone(607) 776-4151
Fax(607) 776-2969
Organization SubpartNo
Authorized OfficialBarbara C ShortLicensed Clinical Social Worker · (607) 776-4151
Enumeration DateFebruary 4, 2022
NPPES CertifiedFebruary 4, 2022
✔ NPI 1124772637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
7634 CAMPBELL CREEK RD, Bath, NY 14810
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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 Life Ministries Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

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

Clinicians, nearest first (2)

Barbara Short, LCSW-R
Clinical Social Worker
NPI 1306923289
7634 CAMPBELL CREEK RD
Bath, NY 14810
(607) 776-4151
✔ PECOSSame address
Gary Short, LCSW-R
Clinical Social Worker
NPI 1164674677
7634 CAMPBELL CREEK RD FAMILY LIFE MINISTRIES
Bath, NY 14810
(607) 776-4151
✔ PECOSSame address

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 Life Ministries Inc's NPI number?

The NPI number for Family Life Ministries Inc is 1124772637. It was assigned to this organization in the NPPES registry on February 4, 2022.

Where is Family Life Ministries Inc located?

Family Life Ministries Inc is located at 7634 Campbell Creek Rd, Bath, NY 14810. The listed phone number is (607) 776-4151.

What is Family Life Ministries Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Family Life Ministries Inc enrolled in Medicare?

Yes. Family Life Ministries Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Life Ministries Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Family Life Ministries Inc. 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.

When was this NPI record last updated?

The NPPES record for Family Life Ministries Inc was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.