Family Life Counseling & Psyciatric Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FAMILY LIFE COUNSELING & PSYCIATRIC SERVICES

Practice address

10 S Clay St
Suite 101
Millersburg, OH 44654-1329

Phone

(419) 774-9969

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Steven Burggraf, PHD, LPCCE, 1MFT

Title

Executive Director

Phone

(419) 774-9969

Specialties & licenses 2

Addresses

Practitioners 1

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

• Michael Hall McGrady, LISW, LICDC

  • Clinical Social Worker
  • Mount Gilead, OH
  • NPI 1073882478

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1932539772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S CLAY ST",
            "address_2": "SUITE 101",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541329",
            "telephone_number": "419-774-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFE COUNSELING & PSYCIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "BURGGRAF",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-774-9969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPCCE, 1MFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "0405",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Holmes Fire & EMS District
• Dale B Edwards, BSW
• Carie Lyn Fair, COTA/L
• Fairview Meadows Care Center, Inc.
• Family Eyecare Associates, Inc.
• Jeremy Scott Flanders, D.C,
• Jenna Nichole Frakowski, D.O.
• Brianna L Frase
• Grace Family Practice LLC
• Jacob Edgardo Gutierrez

• Mental Health Counselor in Millersburg, OH
• Providers in Millersburg, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.