Family Connection Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

17951 Issued in UT

Legal business name

FAMILY CONNECTION CENTER

Practice address

875 E Highway 193
Layton, UT 84040-6544

Phone

(801) 771-4642

Fax

(801) 774-8267

NPI assigned

Sep 27, 2011

Organization subpart

No

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

Authorized official

Name

Jason Wilde, LPCNPI 1689962060

Title

Executive Director

Phone

(801) 773-0712

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Edward Wilde, LPC

  • Professional Counselor
  • Clearfield, UT
  • NPI 1689962060
  NPD (past) Authorized official

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1699058586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E 1450 S",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151611",
            "telephone_number": "801-773-0712",
            "fax_number": "801-774-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 E HIGHWAY 193",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840406544",
            "telephone_number": "801-771-4642",
            "fax_number": "801-774-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CONNECTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "WILDE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-773-0712",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "UT",
            "license": "17951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260022408",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000308007",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Falk, PHARMD
• Domenica Falquez
• Jordan Fambro
• Families First Orthodontics
• Families First Pediatric Dentistry
• Family Matters Services Inc
• Andrew Farley
• Duane E Farley, MD
• Rosanne Farley
• Tracy Farley

• Voluntary or Charitable Agency in Layton, UT
• Providers in Layton, UT by specialty
• Voluntary or Charitable Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.