Active NPI
Family Circle Therapeutic Services LLC
- Professional Counselor
- Bowling Green, MO
National Provider Identifier
1316099559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- FAMILY CIRCLE THERAPEUTIC SERVICES LLC
- Practice address
- 818 W Champ Clark Dr
Bowling Green, MO 63334-2034 - Phone
- (573) 324-5655
- Fax
- (573) 324-5490
- NPI assigned
- Jan 17, 2007
- Last updated
- Jun 30, 2010
- 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
- Tami Bobbett
- Title
- Insurance Manager
- Phone
- (417) 944-1440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
818 W Champ Clark Dr
Bowling Green, MO 63334-2034
Mailing address
818 W Champ Clark Dr
Bowling Green, MO 63334-2034
Phone (573) 324-5655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316099559 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
818 W Champ Clark Dr
Bowling Green, MO 63334
Phone (573) 324-5655
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Professional Counselor
- Bowling Green, MO
- NPI 1104849983
-
- Mental Health Counselor
- Bowling Green, MO
- NPI 1992868640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277856000000",
"number": "1316099559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 W CHAMP CLARK DR",
"city": "BOWLING GREEN",
"state": "MO",
"postal_code": "633342034",
"telephone_number": "573-324-5655",
"fax_number": "573-324-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 W CHAMP CLARK DR",
"city": "BOWLING GREEN",
"state": "MO",
"postal_code": "633342034",
"telephone_number": "573-324-5655",
"fax_number": "573-324-5490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CIRCLE THERAPEUTIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2010-06-30",
"status": "A",
"authorized_official_last_name": "BOBBETT",
"authorized_official_first_name": "TAMI",
"authorized_official_title_or_position": "INSURANCE MANAGER",
"authorized_official_telephone_number": "417-944-1440"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316099559",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.