NPIMap

Organization Active NPI

The Family Counseling Place

  • Clinical Social Worker
  • Carrollton, TX
National Provider Identifier
1285761684
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16275 Issued in TX
Legal business name
THE FAMILY COUNSELING PLACE
Practice address
3620 North Josey Lane
Suite 114
Carrollton, TX 75007-3151
Phone
(972) 394-2137
Fax
(972) 492-7865
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Gordon Tanner Foote, LCSW
Title
Owner
Phone
(972) 394-2137

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 16275 TX Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 2996 OK

Addresses

Primary practice location

3620 North Josey Lane
Suite 114
Carrollton, TX 75007-3151

Mailing address

3620 North Josey Lane
Suite 114
Carrollton, TX 75007-3151
Phone (972) 394-2137

Other identifiers 2

IdentifierTypeStateIssuer
0040QAOtherTXBLUE CROSS BLUE SHIELD
295539OtherTXVALUE OPTIONS

Other names 1

  • Family Counseling Place Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1285761684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 NORTH JOSEY LANE",
            "address_2": "SUITE 114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073151",
            "telephone_number": "972-394-2137",
            "fax_number": "972-492-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 NORTH JOSEY LANE",
            "address_2": "SUITE 114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073151",
            "telephone_number": "972-394-2137",
            "fax_number": "972-492-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY COUNSELING PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "TANNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-394-2137",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "16275",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2996",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0040QA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "295539",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Counseling Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.