Organization Active NPI

Family Counseling Services LLC

  • Social Worker
  • Washington, IA
National Provider Identifier
1285696906
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
02141 Issued in IA
Legal business name
FAMILY COUNSELING SERVICES LLC
Practice address
110 N Iowa Ave
Suite 510
Washington, IA 52353
Phone
(319) 653-2032
Fax
(319) 653-2301
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Gloria Reha, LISW ACSW
Title
Owner
Phone
(319) 653-2032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 02141 IA Primary

Addresses

Primary practice location

110 N Iowa Ave
Suite 510
Washington, IA 52353

Mailing address

110 N Iowa Ave
Suite 510
Washington, IA 52353
Phone (319) 653-2032

Other identifiers 2

IdentifierTypeStateIssuer
0450304MedicaidIA
36224OtherIABCBS

National Provider Directory

National Provider Directory

Locations

110 N Iowa Ave
Ste 510
Washington, IA 52353
Phone (319) 653-2032

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1285696906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N IOWA AVE",
            "address_2": "SUITE 510",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "52353",
            "telephone_number": "319-653-2032",
            "fax_number": "319-653-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N IOWA AVE",
            "address_2": "SUITE 510",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "52353",
            "telephone_number": "319-653-2032",
            "fax_number": "319-653-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "REHA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-653-2032",
        "authorized_official_credential": "LISW ACSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "IA",
            "license": "02141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450304",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36224",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.