Family Forensic and Clinical Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FAMILY FORENSIC AND CLINICAL CENTER

Practice address

127 County Road C E
Little Canada, MN 55117-2376

Phone

(651) 335-8219

NPI assigned

Nov 15, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Chara, PH.D

Title

Ceo

Phone

(651) 636-5549

Specialties & licenses 1

Addresses

Other names 1

• Family Forensics Doing business as

Locations

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1043789357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 HAMLINE AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133104",
            "telephone_number": "651-335-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 COUNTY ROAD C E",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551172376",
            "telephone_number": "651-335-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FORENSIC AND CLINICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "CHARA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-636-5549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Forensics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Little Canada, MN
• Providers in Little Canada, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.