NPIMap

Organization Active NPI

Family Counseling Center

  • Professional Counselor
  • Warner Robins, GA
National Provider Identifier
1114275328
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005010 Issued in GA
Legal business name
FAMILY COUNSELING CENTER
Practice address
106 Olympia Dr Ste B
Warner Robins, GA 31093-3614
Phone
(478) 745-2811
Fax
(475) 745-0881
NPI assigned
Aug 17, 2012
Last updated
Aug 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Mr. Frank Mack, MPA
Title
Executive Director
Phone
(478) 745-2811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC005010 GA Primary

Addresses

Primary practice location

106 Olympia Dr Ste B
Warner Robins, GA 31093-3614

Mailing address

277 MLK Blvd Ste 203
Macon, GA 31201-3498
Phone (478) 745-2811

National Provider Directory

National Provider Directory
Tax ID family
Family Counseling Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

106 Olympia Dr
Ste B
Warner Robins, GA 31093
Phone (478) 745-2811

Practitioners & affiliated clinicians

Practitioners 2

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": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1114275328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 MLK BLVD STE 203",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013498",
            "telephone_number": "478-745-2811",
            "fax_number": "478-745-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 OLYMPIA DR STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933614",
            "telephone_number": "478-745-2811",
            "fax_number": "475-745-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "478-745-2811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.