Organization Active NPI

Family Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Golconda, IL
National Provider Identifier
1720368608
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
04055 Issued in IL
Legal business name
FAMILY COUNSELING CENTER INC
Practice address
125 N Market St
Golconda, IL 62938-1136
Phone
(618) 683-2461
NPI assigned
Aug 23, 2011
Last updated
Aug 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Teresa Pickering
Title
Computer Billing
Phone
(618) 658-2611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 04055 IL Primary

Addresses

Primary practice location

125 N Market St
Golconda, IL 62938-1136

Mailing address

125 N Market St
Golconda, IL 62938-1136
Phone (618) 683-2461

Other identifiers 1

IdentifierTypeStateIssuer
T5DDRTQE99C0OtherILHFS ID NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Arrowleaf24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1720368608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N MARKET ST",
            "city": "GOLCONDA",
            "state": "IL",
            "postal_code": "629381136",
            "telephone_number": "618-683-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N MARKET ST",
            "city": "GOLCONDA",
            "state": "IL",
            "postal_code": "629381136",
            "telephone_number": "618-683-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "PICKERING",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "COMPUTER BILLING",
        "authorized_official_telephone_number": "618-658-2611"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "04055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFS ID NUMBER",
            "identifier": "T5DDRTQE99C0",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golconda, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.