Family Outreach Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FAMILY OUTREACH CENTER

Practice address

255 Colrain St SW
Grand Rapids, MI 49548-1013

Phone

(616) 988-1479

Fax

(616) 988-1493

NPI assigned

Jul 22, 2013

Last updated

Aug 5, 2013By 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

Sheri Landon, LLMSW

Title

Clinician

Phone

(616) 988-1479

Specialties & licenses 1

Addresses

Tax ID family

Family Outreach 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.

• Family Outreach Center for Understanding Special Needs Inc

  dba Focus Inc

  • Social Worker
  • Eagle River, AK
  • NPI 1376620179
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/familyoutreachcenter/r4/

Practitioners 3

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.

• Patient Katabana Baraka, LLMSW

  • Mental Health Counselor
  • Wyoming, MI
  • NPI 1366889313
  NPD (past)
• Michelle Peterson

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1518395300
  NPD (past)
• Andrea Lauren Smith, PHD

  • Social Worker
  • Grand Rapids, MI
  • NPI 1396182697
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1043652928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 DIVISION AVE S",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072459",
            "telephone_number": "616-988-1479",
            "fax_number": "616-988-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 COLRAIN ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495481013",
            "telephone_number": "616-988-1479",
            "fax_number": "616-988-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "LANDON",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "616-988-1479",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Harmony LLC
• Family Health Partners PC
• Family Matters in Home Care, Inc
• Family Medicine Specialists, PC
• Family Nurse Care II, LLC (Alpine Care Home Health)
• Family Outreach Center
• Family Outreach Center
• Family Practice Associates of West Michigan P.C.
• Family Urology Associates, PLC
• Family Wholeness PLLC

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.