NPIMap

Organization Active NPI

Family Counseling Center

  • Community/Behavioral Health Agency
  • Vienna, IL
National Provider Identifier
1356726707
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY COUNSELING CENTER
Practice address
408 E Vine St
Same
Vienna, IL 62995-1612
Phone
(618) 658-2611
NPI assigned
Jul 28, 2015
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Laura Potts
Title
Billing Liaison
Phone
(618) 658-2611

Specialties & licenses 1

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

Addresses

Primary practice location

408 E Vine St
Same
Vienna, IL 62995-1612

Mailing address

408 E Vine St
Vienna, IL 62995-1612
Phone (618) 658-2611

National Provider Directory

National Provider Directory

Locations

408 E Vine St
Vienna, IL 62995
Phone (618) 658-2611

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1356726707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E VINE ST",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629951612",
            "telephone_number": "618-658-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E VINE ST",
            "address_2": "SAME",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629951612",
            "telephone_number": "618-658-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "BILLING LIAISON",
        "authorized_official_telephone_number": "618-658-2611"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.