Family Life Services Ministries & Counseling, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FAMILY LIFE SERVICES MINISTRIES & COUNSELING, INC

Practice address

721 Oak Commons Blvd Ste a
Kissimmee, FL 34741-4186

Phone

(407) 518-9505

Fax

(407) 518-9507

NPI assigned

Aug 10, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Alicia Lasalle Heningburg, LMHCNPI 1972851657

Title

Director

Phone

(407) 518-9505

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Alicia L Heningburg, LMHC

  • Mental Health Counselor
  • Kissimmee, FL
  • NPI 1972851657
  Medicare reassignment Authorized official
• Rita Eugenia Feist

  • Mental Health Counselor
  • Kissimmee, FL
  • NPI 1972485159
  NPD

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

{
    "created_epoch": "1376092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1093148306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 OAK COMMONS BLVD STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414186",
            "telephone_number": "407-518-9505",
            "fax_number": "407-518-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 OAK COMMONS BLVD STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414186",
            "telephone_number": "407-518-9505",
            "fax_number": "407-518-9507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Central Ave",
            "address_2": "Suite 212",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414450",
            "country_code": "US",
            "telephone_number": "407-518-9505",
            "fax_number": "407-518-9507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY LIFE SERVICES MINISTRIES & COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-10",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HENINGBURG",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "LASALLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-518-9505",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Healthcare Plus Group
• Family Healthcare Plus Group, Inc
• Family Homecare Agency
• Family Integration Center
• Family Integration Center
• Family Life Services Ministries & TCM, Inc.
• Family Medical Clinic, LLC
• Family Medicine at Kissimmee, LLC
• Family Members Behavioral Services, Inc.
• Family Tree Medical Group, PA

• Community/Behavioral Health Agency in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.