Organization Active NPI

Family First Support Center Inc

  • Community/Behavioral Health Agency
  • Mount Olive, NC
National Provider Identifier
1336345875
Registry record updated Jul 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY FIRST SUPPORT CENTER INC
Practice address
110 SW Center St
Mount Olive, NC 28365
Phone
(919) 635-3344
Fax
(919) 635-3388
NPI assigned
Jun 22, 2007
Last updated
Jul 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2018

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

Authorized official

Name
Mr. Howard Calhoun, LPCS, LCAS, CCSNPI 1093886277
Title
Ceo/President
Phone
(919) 635-3344

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

110 SW Center St
Mount Olive, NC 28365

Mailing address

770 Vail Rd
Pikeville, NC 27863-9446
Phone (919) 271-2668

Other identifiers 2

IdentifierTypeStateIssuer
8301549BMedicaidNC
8301549GMedicaidNC

Other names 1

  • Family First Support Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Family First Support Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530662400000",
    "number": "1336345875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 VAIL RD",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278639446",
            "telephone_number": "919-271-2668",
            "fax_number": "919-635-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SW CENTER ST",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "28365",
            "telephone_number": "919-635-3344",
            "fax_number": "919-635-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST SUPPORT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2018-07-04",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "919-635-3344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCS, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301549B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301549G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Support Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Family First Support Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Olive, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; 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.