Family and Community Therapy Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2011039647 Issued in MO

Legal business name

FAMILY AND COMMUNITY THERAPY SERVICES, LLC

Practice address

107 Ward Ter
Crystal City, MO 63019-1707

Phone

(314) 546-5242

Fax

(314) 222-0514

NPI assigned

Apr 11, 2013

Last updated

Apr 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kristin CharlesworthNPI 1619245149

Title

Owner

Phone

(314) 546-5242

Specialties & licenses 1

Addresses

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.

• Kristin J Charlesworth, PLPC

  • Professional Counselor
  • Crystal City, MO
  • NPI 1619245149
  NPD (past) Authorized official

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1467895235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WARD TER",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191707",
            "telephone_number": "314-546-5242",
            "fax_number": "314-222-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WARD TER",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191707",
            "telephone_number": "314-546-5242",
            "fax_number": "314-222-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND COMMUNITY THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "CHARLESWORTH",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-546-5242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011039647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert Evens, MD
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• Dale Allen French, LPC
• Charmin L Gans, D.C.
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• Professional Counselor in Crystal City, MO
• Providers in Crystal City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.