Organization Active NPI

Family Preservation Services

  • Mental Health Counselor
  • Cocoa, FL
National Provider Identifier
1942403217
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW7040 Issued in FL
Legal business name
FAMILY PRESERVATION SERVICES
Practice address
690 Friday Rd
Cocoa, FL 32926-3317
Phone
(321) 636-9941
Fax
(321) 636-0915
NPI assigned
Jun 6, 2007
Last updated
Sep 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Mrs. Crystal Simpson
Title
Office Manager
Phone
(828) 225-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW7040 FL Primary

Addresses

Primary practice location

690 Friday Rd
Cocoa, FL 32926-3317

Mailing address

1316 Patton Ave Ste D
Asheville, NC 28806-2652
Phone (828) 225-3100

National Provider Directory

National Provider Directory
Tax ID family
A Counseling Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1942403217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 PATTON AVE STE D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062652",
            "telephone_number": "828-225-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 FRIDAY RD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329263317",
            "telephone_number": "321-636-9941",
            "fax_number": "321-636-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRESERVATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-225-3100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW7040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.