Organization Active NPI

Family Counseling Services, P.C.

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1912989229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
68000018 Issued in IN
Legal business name
FAMILY COUNSELING SERVICES, P.C.
Practice address
10215 Auburn Park Dr
Suite 2
Fort Wayne, IN 46825-2387
Phone
(260) 490-4673
Fax
(260) 490-4604
NPI assigned
Nov 14, 2005
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
Judith Williams, LMHC
Title
President/Owner
Phone
(260) 490-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 68000018 IN Primary

Addresses

Primary practice location

10215 Auburn Park Dr
Suite 2
Fort Wayne, IN 46825-2387

Mailing address

10215 Auburn Park Dr
Suite 2
Fort Wayne, IN 46825-2387
Phone (260) 490-4673

National Provider Directory

National Provider Directory

Locations

10215 Auburn Park Dr
Ste 2
Fort Wayne, IN 46825
Phone (260) 490-4673

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912989229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 AUBURN PARK DR",
            "address_2": "SUITE 2",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252387",
            "telephone_number": "260-490-4673",
            "fax_number": "260-490-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 AUBURN PARK DR",
            "address_2": "SUITE 2",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252387",
            "telephone_number": "260-490-4673",
            "fax_number": "260-490-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "260-490-4673",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "68000018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.