Active NPI
Family Advocacy Center
- Counselor
- Texarkana, TX
National Provider Identifier
1881998243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 64428
- Legal business name
- FAMILY ADVOCACY CENTER
- Practice address
- 1180 Old Redwater Rd
Texarkana, TX 75501-2253 - Phone
- (903) 276-9242
- NPI assigned
- Dec 28, 2010
- 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
- Mrs. Sandra Kelley Shoulders, L.P.C.
- Title
- General Partner
- Phone
- (903) 276-9242
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 64428 | TX | Primary |
| Community/Behavioral Health Agency | 251S00000X | 4844 | TX |
Addresses
Primary practice location
1180 Old Redwater Rd
Texarkana, TX 75501-2253
Mailing address
1180 Old Redwater Road
Texarkana, TX 75501-2253
Phone (903) 276-9242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4844 | Other | TX | TEXAS DEPARTMENT OF STATE HEALTH SERVICES |
| 64428 | Other | TX | TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS |
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Texarkana, TX
- NPI 1811130115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296777600000",
"number": "1881998243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 OLD REDWATER ROAD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755012253",
"telephone_number": "903-276-9242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 OLD REDWATER RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755012253",
"telephone_number": "903-276-9242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY ADVOCACY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-28",
"last_updated": "2011-02-04",
"status": "A",
"authorized_official_last_name": "SHOULDERS",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "KELLEY",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "903-276-9242",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "L.P.C."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "TX",
"license": "64428",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TX",
"license": "4844",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
"identifier": "4844",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS",
"identifier": "64428",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.