Family Counseling Center, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20042458A Issued in IN

Legal business name

FAMILY COUNSELING CENTER, LLC

Practice address

2355 E Cedar Canyons Rd
Fort Wayne, IN 46845-9330

Phone

(260) 925-2017

Fax

(260) 925-9713

NPI assigned

Nov 15, 2010

Organization subpart

No

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

Authorized official

Name

Judith L Williams, PSYD HSSP

Title

Clinical Psychologist

Phone

(260) 925-2017

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 3

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

• Kylie Rae Lowry, LMFT

  • Marriage & Family Therapist
  • Fort Wayne, IN
  • NPI 1477805190
  NPD
• Dionne C Couchman, LMFT LCAC

  • Marriage & Family Therapist
  • Fort Wayne, IN
  • NPI 1134496326
  NPD (past)
• Amy L Drake, MSW, LCSW

  • Mental Health Counselor
  • Auburn, IN
  • NPI 1508172180
  NPD (past)

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1730480211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "EDGERTON",
            "state": "OH",
            "postal_code": "435170289",
            "telephone_number": "260-925-2017",
            "fax_number": "260-925-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 E CEDAR CANYONS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459330",
            "telephone_number": "260-925-2017",
            "fax_number": "260-925-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "260-925-2017",
        "authorized_official_credential": "PSYD HSSP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042458A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@familycounselingcenterllc.com",
            "affiliation": "N",
            "address_1": "2355 E Cedar Canyons Rd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468459330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Services

• Clinical Psychologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.