NPIMap

Organization Active NPI

Farrell Family Counseling Center, LLC

  • Clinical Social Worker
  • Ripley, MS
National Provider Identifier
1164699096
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C6287 Issued in MS
Legal business name
FARRELL FAMILY COUNSELING CENTER, LLC
Practice address
118 N Commerce St
Ripley, MS 38663-2009
Phone
(662) 993-9024
Fax
(662) 993-9025
NPI assigned
May 9, 2008
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Mr. Starke R Farrell, LCSWNPI 1396757860
Title
Manager
Phone
(662) 993-9024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C6287 MS Primary

Addresses

Primary practice location

118 N Commerce St
Ripley, MS 38663-2009

Mailing address

PO Box 726
Ripley, MS 38663-0726
Phone (662) 993-9024

National Provider Directory

National Provider Directory

Locations

118 N Commerce St
Ripley, MS 38663
Phone (662) 993-9024

201 Magazine St
Ofc
Tupelo, MS 38804
Phone (662) 993-9024

Practitioners & affiliated clinicians

Practitioners 1

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": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1164699096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386630726",
            "telephone_number": "662-993-9024",
            "fax_number": "662-993-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N COMMERCE ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386632009",
            "telephone_number": "662-993-9024",
            "fax_number": "662-993-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRELL FAMILY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "STARKE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-993-9024",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.