NPIMap

Organization Active NPI

Family Services Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Broomfield, CO
National Provider Identifier
1104456938
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FAMILY SERVICES CENTER LLC
Practice address
80 Garden Ctr Ste 170
Broomfield, CO 80020-1790
Phone
(303) 219-0895
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Jennesa Yanez, LPC
Title
Owner
Phone
(303) 219-0895

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

80 Garden Ctr Ste 170
Broomfield, CO 80020-1790

Mailing address

80 Garden Ctr Ste 170
Broomfield, CO 80020-1790
Phone (303) 219-0895

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL familyservicescenterco@gmail.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Family Services Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

80 Garden Ctr
Ste 170
Broomfield, CO 80020
Phone (303) 219-0895

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1104456938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GARDEN CTR STE 170",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201790",
            "telephone_number": "303-219-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GARDEN CTR STE 170",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201790",
            "telephone_number": "303-219-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "YANEZ",
        "authorized_official_first_name": "JENNESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-219-0895",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "familyservicescenterco@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "80 Garden Ctr Ste 170",
            "city": "Broomfield",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800201790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.