Active NPI
LDS Family Services
- Mental Health Counselor
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12587
- Legal business name
- LDS FAMILY SERVICES
- Practice address
- 1100 W Jackson Rd
Carrollton, TX 75006-1316 - Phone
- (972) 242-2182
- Fax
- (972) 242-9232
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Oakes Larson, LCSW
- Title
- Counseling Manager
- Phone
- (214) 538-7847
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12587 | TX | Primary |
Addresses
Primary practice location
1100 W Jackson Rd
Carrollton, TX 75006-1316
Mailing address
1100 W Jackson Rd
Carrollton, TX 75006-1316
Phone (972) 242-2182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003NF - 84007L | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider Directory- Tax ID family
- LDS Family Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Bedford, TX
- NPI 1689725053
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.
-
- Clinical Social Worker
- Carrollton, TX
- NPI 1861616724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336435200000",
"number": "1659432847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W JACKSON RD",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750061316",
"telephone_number": "972-242-2182",
"fax_number": "972-242-9232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W JACKSON RD",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750061316",
"telephone_number": "972-242-2182",
"fax_number": "972-242-9232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LDS FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2012-05-08",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "OAKES",
"authorized_official_title_or_position": "COUNSELING MANAGER",
"authorized_official_telephone_number": "214-538-7847",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "12587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0003NF - 84007L",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.