Organization Active NPI

Family Focus

  • Community/Behavioral Health Agency
  • Gautier, MS
National Provider Identifier
1952548059
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C2571 Issued in MS
Legal business name
FAMILY FOCUS
Practice address
1408 Highway 90
Suite 2
Gautier, MS 39553-5456
Phone
(228) 497-8180
Fax
(228) 497-6594
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Ms. Ellen L Malone, LISW, LCSW, ACSW
Title
Ower/Sole MBR
Phone
(228) 497-8180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C2571 MS Primary

Addresses

Primary practice location

1408 Highway 90
Suite 2
Gautier, MS 39553-5456

Mailing address

PO Box 1512
Gautier, MS 39553-0019
Phone (228) 497-8180

Other identifiers 1

IdentifierTypeStateIssuer
07933592MedicaidMS

Other names 1

  • Ellen L Malone Sole MBR Other name

National Provider Directory

National Provider Directory

Locations

1408 Highway 90
Ste 2
Gautier, MS 39553
Phone (228) 497-6057

2201 Highway 90
#A
Gautier, MS 39553
Phone (228) 497-8180

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1952548059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1512",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395530019",
            "telephone_number": "228-497-8180",
            "fax_number": "228-497-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 HIGHWAY 90",
            "address_2": "SUITE 2",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535456",
            "telephone_number": "228-497-8180",
            "fax_number": "228-497-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOCUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWER/SOLE MBR",
        "authorized_official_telephone_number": "228-497-8180",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW, LCSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "C2571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07933592",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellen L Malone Sole MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gautier, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.