NPIMap

Organization Active NPI

Families First

  • Community/Behavioral Health Agency
  • Smyrna, GA
National Provider Identifier
1790988475
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW688 Issued in GA
Legal business name
FAMILIES FIRST
Practice address
2300 Lake Park Dr SE
Suite 100
Smyrna, GA 30080-4076
Phone
(404) 541-3007
Fax
(678) 556-1974
NPI assigned
Jun 8, 2007
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Kenneth Christopher Haider-Bardill, LPC, CPCS, CMACNPI 1871859967
Title
Clinical Director
Phone
(404) 541-2223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW688 GA Primary

Addresses

Primary practice location

2300 Lake Park Dr SE
Suite 100
Smyrna, GA 30080-4076

Mailing address

2300 Lake Park Dr SE
Suite 100
Smyrna, GA 30080-4076
Phone (404) 541-3007

National Provider Directory

National Provider Directory
Tax ID family
Families First2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1790988475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LAKE PARK DR SE",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804076",
            "telephone_number": "404-541-3007",
            "fax_number": "678-556-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LAKE PARK DR SE",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804076",
            "telephone_number": "404-541-3007",
            "fax_number": "678-556-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIES FIRST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "HAIDER-BARDILL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "404-541-2223",
        "authorized_official_credential": "LPC, CPCS, CMAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LCSW688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.