Active NPI
Family Life Consultants, Inc
- Clinical Social Worker
- East Chicago, IN
National Provider Identifier
1790101715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006093
- Legal business name
- FAMILY LIFE CONSULTANTS, INC
- Practice address
- 901 W Chicago Ave
East Chicago, IN 46312-3308 - Phone
- (219) 392-3701
- NPI assigned
- Mar 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Roxanne Valerie Kalch, LCSW, LAC
- Title
- President
- Phone
- (219) 392-3701
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 86000172A | IN | |
| Clinical Social Worker | 1041C0700X | 34006093 | IN | Primary |
| Clinical Social Worker | 1041C0700X | 33005112A | IN | |
| Marriage & Family Therapist | 106H00000X | 35001323A | IN |
Addresses
Primary practice location
901 W Chicago Ave
East Chicago, IN 46312-3308
Mailing address
901 W Chicago Ave
East Chicago, IN 46312-3308
Phone (219) 392-3701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043371768 | Other | IN | PERSONAL NPI |
National Provider Directory
National Provider DirectoryLocations
901 W Chicago Ave
East Chicago, IN 46312
Phone (219) 392-3701
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- East Chicago, IN
- NPI 1821415076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394755200000",
"number": "1790101715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W CHICAGO AVE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123308",
"telephone_number": "219-392-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W CHICAGO AVE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123308",
"telephone_number": "219-392-3701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY LIFE CONSULTANTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-14",
"last_updated": "2014-03-14",
"status": "A",
"authorized_official_last_name": "KALCH",
"authorized_official_first_name": "ROXANNE",
"authorized_official_middle_name": "VALERIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-392-3701",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW, LAC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "86000172A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006093",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "33005112A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35001323A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1043371768",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Chicago, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.