Organization Active NPI

Family Couseling and Recovery Center Inc

  • Mental Health Counselor
  • Cartersville, GA
National Provider Identifier
1649347931
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00884 Issued in GA
Legal business name
FAMILY COUSELING AND RECOVERY CENTER INC
Practice address
317 Grassdale Road
Cartersville, GA 30120-9014
Phone
(770) 386-3777
Fax
(770) 516-4369
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel Robert Dougherty, MTH LPCNPI 1437324886
Title
LPC President
Phone
(770) 386-3777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 00884 GA Primary

Addresses

Primary practice location

317 Grassdale Road
Cartersville, GA 30120-9014

Mailing address

PO Box 200743
Cartersville, GA 30120-9014
Phone (770) 386-3777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649347931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200743",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301209014",
            "telephone_number": "770-386-3777",
            "fax_number": "770-516-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 GRASSDALE ROAD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301209014",
            "telephone_number": "770-386-3777",
            "fax_number": "770-516-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUSELING AND RECOVERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "LPC PRESIDENT",
        "authorized_official_telephone_number": "770-386-3777",
        "authorized_official_credential": "MTH LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "00884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.