Organization Active NPI

Family Connections Counseling Center LLC

  • Clinical Social Worker
  • Natchez, MS
National Provider Identifier
1497200570
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C5919 Issued in MS
Legal business name
FAMILY CONNECTIONS COUNSELING CENTER LLC
Practice address
418 Liberty Rd
Natchez, MS 39120-4314
Phone
(601) 434-2977
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Ms. Jessie Luster Singleton, LCSW
Title
Administrator
Phone
(601) 434-2977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C5919 MS Primary

Addresses

Primary practice location

418 Liberty Rd
Natchez, MS 39120-4314

Mailing address

418 Liberty Rd
Natchez, MS 39120-4314
Phone (601) 434-2977

Other identifiers 2

IdentifierTypeStateIssuer
1508192949OtherMSNPI
09907518MedicaidMS

National Provider Directory

National Provider Directory

Locations

418 Liberty Rd
Natchez, MS 39120
Phone (601) 653-0936

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1497200570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 LIBERTY RD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204314",
            "telephone_number": "601-434-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 LIBERTY RD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204314",
            "telephone_number": "601-434-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CONNECTIONS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "LUSTER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-434-2977",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C5919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508192949",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09907518",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.