NPIMap

Organization Active NPI

Family Counseling Service of Tuscaloosa County, Al, Inc.

Doing business as Family Counseling Service

  • Clinical Social Worker
  • Tuscaloosa, AL
National Provider Identifier
1073922233
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1133C Issued in AL
Legal business name
FAMILY COUNSELING SERVICE OF TUSCALOOSA COUNTY, AL, INC.
Doing business as
Family Counseling Service
Practice address
2020 Paul W Bryant Dr
Tuscaloosa, AL 35401-2312
Phone
(205) 752-2504
Fax
(205) 345-4842
NPI assigned
Aug 12, 2014
Last updated
Aug 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Mr. Larry Deavers, LCSWNPI 1255823605
Title
Executive Director
Phone
(205) 752-2504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3036 AL
Professional Counselor 101YP2500X 3068 AL
Clinical Social Worker 1041C0700X 3618C AL
Clinical Social Worker 1041C0700X 1133C AL Primary

Addresses

Primary practice location

2020 Paul W Bryant Dr
Tuscaloosa, AL 35401-2312

Mailing address

2020 Paul W Bryant Dr
Tuscaloosa, AL 35401-2312
Phone (205) 752-2504

Other names 1

  • Family Counseling Service Doing business as

National Provider Directory

National Provider Directory

Locations

2020 Paul W Bryant Dr
Tuscaloosa, AL 35401
Phone (205) 752-2504

Practitioners & affiliated clinicians

Practitioners 6

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": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1073922233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PAUL W BRYANT DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012312",
            "telephone_number": "205-752-2504",
            "fax_number": "205-345-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PAUL W BRYANT DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012312",
            "telephone_number": "205-752-2504",
            "fax_number": "205-345-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING SERVICE OF TUSCALOOSA COUNTY, AL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "DEAVERS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-752-2504",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3036",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3068",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3618C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1133C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Counseling Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.