Organization Active NPI

Family Counseling Service

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1386690022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY COUNSELING SERVICE
Practice address
3833 S Staples St
S-203
Corpus Christi, TX 78411-5201
Phone
(361) 852-9665
Fax
(361) 852-2794
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Judy Gutierrez
Title
Contract Supervisor
Phone
(361) 852-9665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3833 S Staples St
S-203
Corpus Christi, TX 78411-5201

Mailing address

3833 S Staples St
S-203
Corpus Christi, TX 78411-5201
Phone (361) 852-9665

Other identifiers 1

IdentifierTypeStateIssuer
00R58MOtherTXBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050815000982 TX Part B Supplier - Clinic/Group Practice 1759311285 Receives reassigned benefits from 9 practitioners
Practice locations: Corpus Christi, TX; Kingsville, TX

National Provider Directory

National Provider Directory

Locations

2051 W Wheeler Ave
Ste 2
Aransas Pass, TX 78336
Phone (361) 852-9665

3833 S Staples St
Ste S203
Corpus Christi, TX 78411
Phone (361) 852-9665

3833 S Staples St
#203
Corpus Christi, TX 78411
Phone (361) 852-9665

603 E Kleberg Ave
Kingsville, TX 78363
Phone (361) 592-6058

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386690022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 S STAPLES ST",
            "address_2": "S-203",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115201",
            "telephone_number": "361-852-9665",
            "fax_number": "361-852-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 S STAPLES ST",
            "address_2": "S-203",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115201",
            "telephone_number": "361-852-9665",
            "fax_number": "361-852-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CONTRACT SUPERVISOR",
        "authorized_official_telephone_number": "361-852-9665",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00R58M",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.