Active NPI
Families 1St Counseling, PLLC
- Professional Counselor
- Fayetteville, NC
National Provider Identifier
1275769200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7255
- Legal business name
- FAMILIES 1ST COUNSELING, PLLC
- Practice address
- 346 Wagoner Dr
Suite 106
Fayetteville, NC 28303-4680 - Phone
- (910) 864-0179
- Fax
- (910) 864-3162
- NPI assigned
- Jun 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tomeka Davis Shaw, LPC, NCC
- Title
- Executive Director/Owner
- Phone
- (910) 797-5661
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7255 | NC | |
| Professional Counselor | 101YP2500X | 7255 | NC | Primary |
| Psychologist | 103T00000X | 1596 | NC | |
| Community/Behavioral Health Agency | 251S00000X | 7255 | NC | |
| Early Intervention Provider Agency | 252Y00000X | 7255 | NC |
Addresses
Primary practice location
346 Wagoner Dr
Suite 106
Fayetteville, NC 28303-4680
Mailing address
346 Wagoner Dr
Suite 106
Fayetteville, NC 28303-4680
Phone (910) 864-0179
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 437554 | Other | NC | TRICARE |
| 6104094 | Medicaid | NC | |
| 151XR | Other | NC | BCBS |
| 13857 | Other | NC | BCBS |
| 6107612 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1629214846
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1528201944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291680000000",
"number": "1275769200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 WAGONER DR",
"address_2": "SUITE 106",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034680",
"telephone_number": "910-864-0179",
"fax_number": "910-864-3162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 WAGONER DR",
"address_2": "SUITE 106",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034680",
"telephone_number": "910-864-0179",
"fax_number": "910-864-3162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILIES 1ST COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-04",
"last_updated": "2010-12-07",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "TOMEKA",
"authorized_official_middle_name": "DAVIS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
"authorized_official_telephone_number": "910-797-5661",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "7255",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7255",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NC",
"license": "1596",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "7255",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NC",
"license": "7255",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "437554",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104094",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "151XR",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "13857",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107612",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.