NPIMap

Organization Active NPI

Family Outreach & Counseling ,Inc

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1306073150
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
306 Issued in NC
Legal business name
FAMILY OUTREACH & COUNSELING ,INC
Practice address
700 Parkwood Ave
Suite 204
Charlotte, NC 28205-2655
Phone
(704) 333-2033
Fax
(704) 333-3639
NPI assigned
Jun 19, 2009
Last updated
Jun 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Mrs. Dona M. Patterson, LMFT,CSMS,CFAENPI 1174740195
Title
Executive Director/President
Phone
(704) 333-2033

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 306 NC Primary
Professional Counselor 101YP2500X 306 NC
Marriage & Family Therapist 106H00000X 306 NC

Addresses

Primary practice location

700 Parkwood Ave
Suite 204
Charlotte, NC 28205-2655

Mailing address

700 Parkwood Ave
Suite 204
Charlotte, NC 28205-2655
Phone (704) 333-2033

National Provider Directory

National Provider Directory
Tax ID family
Family Outreach and Counseling Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 Parkwood Ave
Ste 204
Charlotte, NC 28205
Phone (704) 333-2033

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": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1306073150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PARKWOOD AVE",
            "address_2": "SUITE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052655",
            "telephone_number": "704-333-2033",
            "fax_number": "704-333-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PARKWOOD AVE",
            "address_2": "SUITE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052655",
            "telephone_number": "704-333-2033",
            "fax_number": "704-333-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OUTREACH & COUNSELING ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DONA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "704-333-2033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT,CSMS,CFAE"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "306",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "306",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.