Organization Active NPI

Family Services Center LLC

  • Mental Health Counselor
  • Broomfield, CO
National Provider Identifier
1902445216
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY SERVICES CENTER LLC
Practice address
80 Garden Ctr Ste 170
Broomfield, CO 80020-1790
Phone
(303) 219-0895
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Jennesa Yanez
Title
Owner
Phone
(303) 219-0895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

80 Garden Ctr Ste 170
Broomfield, CO 80020-1790

Mailing address

80 Garden Ctr Ste 170
Broomfield, CO 80020-1790

Other identifiers 1

IdentifierTypeStateIssuer
1780004762MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Family Services Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1902445216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GARDEN CTR STE 170",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GARDEN CTR STE 170",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201790",
            "telephone_number": "303-219-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "YANEZ",
        "authorized_official_first_name": "JENNESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-219-0895"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780004762",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.