Family Support Center of South Sound

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FAMILY SUPPORT CENTER OF SOUTH SOUND

Practice address

3545 7TH Ave SW Ste 200
Olympia, WA 98502-5010

Phone

(360) 754-9297

Fax

(360) 943-1139

NPI assigned

Jun 7, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trish Gregory

Title

Executive Director

Phone

(360) 754-9297

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1023677689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 7TH AVE SW STE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025010",
            "fax_number": "360-943-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 7TH AVE SW STE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025010",
            "telephone_number": "360-754-9297",
            "fax_number": "360-943-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT CENTER OF SOUTH SOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "TRISH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-754-9297"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Elbert Faison Jr., MS
• Daniel Saul Fajans
• Rena M Fall
• Family Medical Care Clinic LLC
• Family Practice Associates of Olympia, PLLC
• Charles Eugene Fankhauser, D.D.S.
• Danielle Penn Fanshel
• Kendall Cecile Farley, LMHCA
• Lauren Dorothy Farmer, LMFT
• Rachel Farney, CRNA

• Case Management Agency in Olympia, WA
• Providers in Olympia, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.