Organization Active NPI

LDS Family Services

  • Mental Health Counselor
  • Carrollton, TX
National Provider Identifier
1659432847
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12587 Issued in TX
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

Updated by the provider on May 8, 2012

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

Authorized official

Name
Eric Oakes Larson, LCSWNPI 1861616724
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0003NF - 84007LOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
LDS Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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.

Verify at the official NPI Registry.