Family Institute of Mental Health, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

000080 Issued in MO

Legal business name

FAMILY INSTITUTE OF MENTAL HEALTH, INC.

Practice address

281 S Jefferson Ave
Suite J
Lebanon, MO 65536-3226

Phone

(417) 588-2933

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Betsy Hacker Wahl, L.P.C.NPI 1508837857

Title

President/Therapist

Phone

(417) 588-2933

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Betsy Hacker Wahl, M.S.

  • Professional Counselor
  • Lebanon, MO
  • NPI 1508837857
  NPD (past) Authorized official
• Mary E Isaacs, M.S.

  • Professional Counselor
  • Lebanon, MO
  • NPI 1134276504
  NPD (past)
• Quentin Doyle Maxwell, PLPC

  • Professional Counselor
  • Lebanon, MO
  • NPI 1851592083
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1114189180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23175 PARADISE DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655365146",
            "telephone_number": "417-588-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 S JEFFERSON AVE",
            "address_2": "SUITE J",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363226",
            "telephone_number": "417-588-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY INSTITUTE OF MENTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "HACKER",
        "authorized_official_title_or_position": "PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "417-588-2933",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "000080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508837857",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evergreen Health Center, PC
• F.C. of Missouri Inc
• Faithful Transports LLC
• Family Health Associates, P.C.
• Family Health Associates, P.C.
• Jeffrey Fears, MD
• Forefront Dermatology - Missouri, LLC
• Forefront Dermatology, S.C.
• Heidi C Fox
• Martha J Frazier, MA

• Community/Behavioral Health Agency in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.