NPIMap

Organization Active NPI

The Family Tree Information, Education and Counseling Center

  • Social Worker
  • Lafayette, LA
National Provider Identifier
1083625230
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4075 Issued in LA
Legal business name
THE FAMILY TREE INFORMATION, EDUCATION AND COUNSELING CENTER
Practice address
1602 W Pinhook Rd Ste 100a
Lafayette, LA 70508-3745
Phone
(337) 981-2180
Fax
(337) 819-2391
NPI assigned
Aug 11, 2006
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Mrs. Marie Collins, LPC, LMFT, LACNPI 1912785213
Title
Executive Director
Phone
(337) 981-2180

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4075 LA Primary

Addresses

Primary practice location

1602 W Pinhook Rd Ste 100a
Lafayette, LA 70508-3745

Mailing address

1602 W Pinhook Rd Ste 100a
Lafayette, LA 70508-3745
Phone (337) 981-2180

Other practice location 1

605 W Saint Mary Blvd
Lafayette, LA 70506-3537
Phone (337) 237-2160

National Provider Directory

National Provider Directory

Locations

605 W Saint Mary Blvd
Lafayette, LA 70506
Phone (337) 237-2160

Practitioners & affiliated clinicians

Practitioners 11

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1083625230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W PINHOOK RD STE 100A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083745",
            "telephone_number": "337-981-2180",
            "fax_number": "337-819-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W PINHOOK RD STE 100A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083745",
            "telephone_number": "337-981-2180",
            "fax_number": "337-819-2391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 W Saint Mary Blvd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705063537",
            "country_code": "US",
            "telephone_number": "337-237-2160",
            "fax_number": "337-237-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE FAMILY TREE INFORMATION, EDUCATION AND COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-981-2180",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LMFT, LAC"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.