Active NPI
Family Therapy Institute
- Community/Behavioral Health Agency
- Salisbury, NC
National Provider Identifier
1891854162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MHL080094
- Legal business name
- FAMILY THERAPY INSTITUTE
- Practice address
- 420 Statesville Blvd
Salisbury, NC 28144-2318 - Phone
- (704) 639-9889
- NPI assigned
- Dec 6, 2006
- Last updated
- Jun 6, 2011
- 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
- Kathy Marie Sheltonpriek, LCSW
- Title
- Clinical Director
- Phone
- (704) 639-9889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL080094 | NC | Primary |
Addresses
Primary practice location
420 Statesville Blvd
Salisbury, NC 28144-2318
Mailing address
PO Box 1986
Salisbury, NC 28145-1986
Phone (704) 639-9889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602058 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
420 Statesville Blvd
Salisbury, NC 28144
Phone (704) 636-9889
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Clinical Social Worker
- Salisbury, NC
- NPI 1497718985
-
- Clinical Social Worker
- Salisbury, NC
- NPI 1316919921
-
- Counselor
- Salisbury, NC
- NPI 1962561225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307318400000",
"number": "1891854162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1986",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281451986",
"telephone_number": "704-639-9889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 STATESVILLE BLVD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442318",
"telephone_number": "704-639-9889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY THERAPY INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2011-06-06",
"status": "A",
"authorized_official_last_name": "SHELTONPRIEK",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "704-639-9889",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL080094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "602058",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.