Organization Active NPI

Family Therapy Institute

  • Community/Behavioral Health Agency
  • Salisbury, NC
National Provider Identifier
1891854162
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL080094 Issued in NC
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
602058MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.