NPIMap

Organization Active NPI

Family Counseling Center of Missouri, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, MO
National Provider Identifier
1740503135
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
FAMILY COUNSELING CENTER OF MISSOURI, INC
Practice address
117 N Garth Ave
Columbia, MO 65203-4103
Phone
(573) 443-2204
Fax
(573) 875-5851
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Mr. Allan Tacker
Title
Director of Operations
Phone
(573) 443-2204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

117 N Garth Ave
Columbia, MO 65203-4103

Mailing address

117 N Garth Ave
Columbia, MO 65203-4103
Phone (573) 443-2204

Other identifiers 1

IdentifierTypeStateIssuer
11111OtherMOCRJC GENERAL POPULATION CONTRACT

National Provider Directory

National Provider Directory
Tax ID family
Family Counseling Center of Missouri Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1740503135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N GARTH AVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034103",
            "telephone_number": "573-443-2204",
            "fax_number": "573-875-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N GARTH AVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034103",
            "telephone_number": "573-443-2204",
            "fax_number": "573-875-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CENTER OF MISSOURI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "TACKER",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "573-443-2204",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRJC GENERAL POPULATION CONTRACT",
            "identifier": "11111",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.