Organization Active NPI

Family Counseling Clinic of Stevens Point LLC

  • Community/Behavioral Health Agency
  • Stevens Point, WI
National Provider Identifier
1073832440
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1320 Issued in WI
Legal business name
FAMILY COUNSELING CLINIC OF STEVENS POINT LLC
Practice address
1052 Main St Ste 203
Stevens Point, WI 54481-2848
Phone
(715) 345-1965
Fax
(715) 254-0372
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Mark Rossano, LPC
Title
Director
Phone
(715) 345-1965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1320 WI Primary

Addresses

Primary practice location

1052 Main St Ste 203
Stevens Point, WI 54481-2848

Mailing address

1052 Main St Ste 203
P.O. Box 445
Stevens Point, WI 54481-2848
Phone (715) 345-1965

National Provider Directory

National Provider Directory

Locations

1052 Main St
Ste 203
Stevens Point, WI 54481
Phone (715) 345-1965

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1073832440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 MAIN ST STE 203",
            "address_2": "P.O. BOX 445",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812848",
            "telephone_number": "715-345-1965",
            "fax_number": "715-254-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 MAIN ST STE 203",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812848",
            "telephone_number": "715-345-1965",
            "fax_number": "715-254-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CLINIC OF STEVENS POINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "ROSSANO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-345-1965",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.