Organization Active NPI

Family Circle Therapeutic Services LLC

  • Professional Counselor
  • Bowling Green, MO
National Provider Identifier
1316099559
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1316099559MedicaidMO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.