Family Centered Services of Alaska

Primary specialty

CounselorTaxonomy code 101Y00000X

License

10Y00000X Issued in AK

Legal business name

FAMILY CENTERED SERVICES OF ALASKA

Practice address

1825 Marika Rd
Fairbanks
Fairbanks, AK 99709-5521

Phone

(907) 474-0890

NPI assigned

Mar 20, 2014

Last updated

Mar 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelie Marie Lara

Title

Youth Counselor

Phone

(915) 731-5160

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1124445762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MARIKA RD",
            "address_2": "FAIRBANKS",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095521",
            "telephone_number": "907-474-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MARIKA RD",
            "address_2": "FAIRBANKS",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095521",
            "telephone_number": "907-474-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CENTERED SERVICES OF ALASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "ANGELIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "YOUTH COUNSELOR",
        "authorized_official_telephone_number": "915-731-5160"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AK",
            "license": "10Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairbanks Vascular Surgery
• Fairbanks Youth Advocates (Clearwater Counseling)
• Wade M Falconburg, LCSW, MAC, PACT
• Lois Faller, BS
• Family Centered Services of Ak
• Family Centered Services of Alaska
• Family Centered Services of Alaska
• Family Centered Services of Alaska
• Family Centered Services of Alaska
• Family Centered Services of Alaska

• Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.