NPIMap

Organization Active NPI

The Family Connection, LLC

  • Professional Counselor
  • Sarcoxie, MO
National Provider Identifier
1538464359
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE FAMILY CONNECTION, LLC
Practice address
2295 Lawrence 2140
Sarcoxie, MO 64862-8249
Phone
(417) 310-3527
Fax
(866) 826-4066
NPI assigned
Jan 26, 2011
Last updated
Jan 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Ms. Carla Jane Hiebsch
Title
Clinical Director
Phone
(417) 310-3527

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

2295 Lawrence 2140
Sarcoxie, MO 64862-8249

Mailing address

2295 Lawrence 2140
Sarcoxie, MO 64862-8249
Phone (417) 310-3527

Other identifiers 1

IdentifierTypeStateIssuer
1761271540MedicaidMO

National Provider Directory

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": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1538464359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 LAWRENCE 2140",
            "city": "SARCOXIE",
            "state": "MO",
            "postal_code": "648628249",
            "telephone_number": "417-310-3527",
            "fax_number": "866-826-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 LAWRENCE 2140",
            "city": "SARCOXIE",
            "state": "MO",
            "postal_code": "648628249",
            "telephone_number": "417-310-3527",
            "fax_number": "866-826-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY CONNECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "HIEBSCH",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "417-310-3527",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1761271540",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarcoxie, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.