Organization Active NPI

Three Rivers Family Therapy Center, Inc.

  • Clinical Social Worker
  • Salina, KS
National Provider Identifier
1073614129
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0924 Issued in KS
Legal business name
THREE RIVERS FAMILY THERAPY CENTER, INC.
Practice address
645 E Iron Ave
Suite B
Salina, KS 67401-2697
Phone
(785) 823-6333
Fax
(785) 823-6381
NPI assigned
Sep 25, 2006
Last updated
Sep 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Authorized official

Name
Ms. Cynthia Eckert-McCoy McCoy, M.S.W.
Title
Partner
Phone
(785) 823-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0924 KS Primary

Addresses

Primary practice location

645 E Iron Ave
Suite B
Salina, KS 67401-2697

Mailing address

645 E Iron Ave
Suite B
Salina, KS 67401-2697
Phone (785) 823-6333

Other identifiers 1

IdentifierTypeStateIssuer
070558OtherKSBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

645 E Iron Ave
Ste B
Salina, KS 67401
Phone (785) 823-6333

Practitioners & affiliated clinicians

Practitioners 2

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1073614129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E IRON AVE",
            "address_2": "SUITE B",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012697",
            "telephone_number": "785-823-6333",
            "fax_number": "785-823-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E IRON AVE",
            "address_2": "SUITE B",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012697",
            "telephone_number": "785-823-6333",
            "fax_number": "785-823-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS FAMILY THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "CYNTHIA ECKERT-MCCOY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "785-823-6333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "0924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "070558",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.