Family Behavioral Resources, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2480 Issued in WI

Legal business name

FAMILY BEHAVIORAL RESOURCES, LLC

Practice address

2301 Riverside Dr
Suite 8
Green Bay, WI 54301-1907

Phone

(920) 430-9100

Fax

(920) 430-9101

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Carol Jean Burks, MS, LPCNPI 1316070022

Title

Member

Phone

(920) 430-9100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Carol Jean Burks, MS, LPC

  • Professional Counselor
  • Green Bay, WI
  • NPI 1316070022
  NPD (past) Authorized official
• Ruth Kaufman, M.S., LPC

  • Professional Counselor
  • Green Bay, WI
  • NPI 1902939564
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1215121967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 RIVERSIDE DR",
            "address_2": "SUITE 8",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011907",
            "telephone_number": "920-430-9100",
            "fax_number": "920-430-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 RIVERSIDE DR",
            "address_2": "SUITE 8",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011907",
            "telephone_number": "920-430-9100",
            "fax_number": "920-430-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY BEHAVIORAL RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "920-430-9100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42232600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Falcon
• Steven H Falconer, MD
• Peter Michael Falk, MD
• Familia Dental Green Bay East LLC
• Familia Dental West Green Bay
• Family Dental Center of Green Bay, S.C.
• Family Practice Associates of Green Bay, S.C.
• Family Services of Northeast Wi
• Family Services of Northeast Wi
• Family Services of Northeast Wi, Inc

• Community/Behavioral Health Agency in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.