Organization Active NPI

Family Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Enterprise, AL
National Provider Identifier
1609024686
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
212 Issued in AL
Legal business name
FAMILY COUNSELING CENTER, LLC
Practice address
557 Glover Ave.
Suite 3
Enterprise, AL 36330-2024
Phone
(334) 308-2292
Fax
(334) 347-2919
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Mr. Keith L Ellis, M.S., L.M.F.T.
Title
Owner
Phone
(334) 308-2292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 212 AL Primary

Addresses

Primary practice location

557 Glover Ave.
Suite 3
Enterprise, AL 36330-2024

Mailing address

557 Glover Ave.
Suite 3
Enterprise, AL 36330-2024
Phone (334) 308-2292

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1609024686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 GLOVER AVE.",
            "address_2": "SUITE 3",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302024",
            "telephone_number": "334-308-2292",
            "fax_number": "334-347-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 GLOVER AVE.",
            "address_2": "SUITE 3",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302024",
            "telephone_number": "334-308-2292",
            "fax_number": "334-347-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-308-2292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.