NPIMap

Organization Active NPI

Family Counseling Center of Missouri Inc

  • Clinic/Center
  • Fulton, MO
National Provider Identifier
1558406959
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FAMILY COUNSELING CENTER OF MISSOURI INC
Practice address
2625 Fairway Dr
Fulton, MO 65251-3936
Phone
(573) 642-3239
Fax
(573) 642-3239
NPI assigned
Feb 21, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Allen Tacker, PH.D.
Title
Executive Director
Phone
(573) 443-2204

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Counselor 101Y00000X NU

Addresses

Primary practice location

2625 Fairway Dr
Fulton, MO 65251-3936

Mailing address

117 N Garth Ave
Columbia, MO 65203-4103
Phone (573) 443-2204

Other identifiers 1

IdentifierTypeStateIssuer
1649269622OtherMOFCCMO BILLING NPI NUMBER

Other names 1

  • Fulton Outpatient Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Family Counseling Center of Missouri Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the 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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1558406959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N GARTH AVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034103",
            "telephone_number": "573-443-2204",
            "fax_number": "573-875-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 FAIRWAY DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652513936",
            "telephone_number": "573-642-3239",
            "fax_number": "573-642-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CENTER OF MISSOURI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TACKER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-443-2204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FCCMO BILLING NPI NUMBER",
            "identifier": "1649269622",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulton Outpatient Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.