Family Therapy of the Ozarks, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FAMILY THERAPY OF THE OZARKS, INC

Practice address

1310 E. Kingsley
Suite C
Springfield, MO 65804-7238

Phone

(417) 882-7700

Fax

(417) 885-3956

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Catherine Lea Boling, MSW, LCSW

Title

Co-Owner/Therapist

Phone

(417) 882-7700

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1780965509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E KINGSLEY ST",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047216",
            "telephone_number": "417-882-7700",
            "fax_number": "417-885-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E. KINGSLEY",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047238",
            "telephone_number": "417-882-7700",
            "fax_number": "417-885-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY THERAPY OF THE OZARKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "BOLING",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CO-OWNER/THERAPIST",
        "authorized_official_telephone_number": "417-882-7700",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780965509",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346412327",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family ENT & Sinus Center of Harrison, P.a.
• Family Medical Walk-in Clinic
• Family Pharmacy Inc
• Family Pharmacy Inc
• Family Psychology of Springfield, LLC
• Ashlee Fancher, FNP
• Michael R Fancher, M.D.
• Mikaly Etiana Anne Fandel
• Matthew Fanetti
• Daniel S Fannin, D.D.S.

• Clinical Social Worker in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.