Provider Demographics
NPI:1417917063
Name:FRS COUNSELING
Entity Type:Organization
Organization Name:FRS COUNSELING
Other - Org Name:FAMILY RECOVERY SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEESBRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-393-4562
Mailing Address - Street 1:313 CHILLICOTHE AVE
Mailing Address - Street 2:PO BOX 823
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133
Mailing Address - Country:US
Mailing Address - Phone:937-393-4562
Mailing Address - Fax:937-393-2056
Practice Address - Street 1:104 ERIN CT
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-8591
Practice Address - Country:US
Practice Address - Phone:937-393-9720
Practice Address - Fax:937-393-9703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2846684Medicaid
OH1417917063Medicaid
OH1891055133Medicaid
OH2864584Medicaid