NPIMap

Organization Active NPI

NE Family Care Counseling Center

  • Professional Counselor
  • Canton, OH
National Provider Identifier
1033585385
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0004150 Issued in OH
Legal business name
NE FAMILY CARE COUNSELING CENTER
Practice address
1303 W Maple St Ste 103
Canton, OH 44720-2858
Phone
(330) 966-8677
NPI assigned
Aug 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Dr. Tim King, LPCC-S, PHD
Title
Owner/Director
Phone
(330) 966-8677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X E0004150 OH Primary

Addresses

Primary practice location

1303 W Maple St Ste 103
Canton, OH 44720-2858

Mailing address

1303 W Maple St Ste 103
Canton, OH 44720-2858
Phone (330) 966-8677

National Provider Directory

National Provider Directory
Tax ID family
N E Family Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1303 W Maple St
Ste 103
North Canton, OH 44720
Phone (330) 966-8677

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1033585385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 W MAPLE ST STE 103",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447202858",
            "telephone_number": "330-966-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W MAPLE ST STE 103",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447202858",
            "telephone_number": "330-966-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NE FAMILY CARE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "330-966-8677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPCC-S, PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0004150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.