Family Support Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

12358 Issued in UT

Legal business name

FAMILY SUPPORT CENTER

Practice address

777 W Center St
Midvale, UT 84047-7148

Phone

(801) 955-9411

Fax

(801) 955-9411

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul M. Ricks, LCSW

Title

Clinical Director

Phone

(801) 955-9110

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1568510550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 W 4805 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841181177",
            "telephone_number": "801-955-9110",
            "fax_number": "801-955-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W CENTER ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840477148",
            "telephone_number": "801-955-9411",
            "fax_number": "801-955-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-955-9110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "17474",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "12358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Nasareta Faauli
• Lillian Nicole Fackrell, DC
• Jennifer Fairbourn, MS, LMFT
• Joshua Stephen Falk, LCSW
• Lynn Don Falkner, PA
• Family Support Center
• Farrington Health Care LLC
• Fast Track Physical Therapy and Sports Medicine, PLLC
• Skylar Fenton
• Lacey Marie Ferguson

• Community/Behavioral Health Agency in Midvale, UT
• Providers in Midvale, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.