NPIMap

Organization Active NPI

Family Service Center of Galveston County, Texas

  • Mental Health Counselor
  • Galveston, TX
National Provider Identifier
1902871833
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NA Issued in TX
Legal business name
FAMILY SERVICE CENTER OF GALVESTON COUNTY, TEXAS
Practice address
2200 Market St
Suite 600
Galveston, TX 77550-1530
Phone
(409) 762-8636
Fax
(409) 762-4185
NPI assigned
Feb 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Buffum, PHD
Title
Executive Director
Phone
(409) 762-8636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NA TX Primary

Addresses

Primary practice location

2200 Market St
Suite 600
Galveston, TX 77550-1530

Mailing address

2200 Market St
Suite 600
Galveston, TX 77550-1530
Phone (409) 762-8636

Other identifiers 4

IdentifierTypeStateIssuer
FAMIL-0045OtherTXCOMPREHENSIVE BEHAVIOR HE
00T30LOtherTXBLUE CROSS BLUE SHIELD
281800OtherTXMANAGED HEALTH NETWORK
5283681OtherTXAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051129000754 TX Part B Supplier - Clinic/Group Practice 8022038520 Receives reassigned benefits from 2 practitioners
Practice locations: Galveston, TX

National Provider Directory

National Provider Directory

Locations

2401 Termini St
Ste C
Dickinson, TX 77539
Phone (409) 762-8636

123 Rosenberg St
Fl 7
Galveston, TX 77550
Phone (737) 738-5547

2200 Market St
Ste 600
Galveston, TX 77550
Phone (409) 762-8636

10000 Emmett F Lowry Expy
Ste 4000300D
Texas City, TX 77591
Phone (409) 762-8636

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902871833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MARKET ST",
            "address_2": "SUITE 600",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775501530",
            "telephone_number": "409-762-8636",
            "fax_number": "409-762-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MARKET ST",
            "address_2": "SUITE 600",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775501530",
            "telephone_number": "409-762-8636",
            "fax_number": "409-762-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE CENTER OF GALVESTON COUNTY, TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUFFUM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "409-762-8636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPREHENSIVE BEHAVIOR HE",
            "identifier": "FAMIL-0045",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00T30L",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "281800",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5283681",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.