Organization Active NPI

The Family Counseling and Associates, LLC

  • Community/Behavioral Health Agency
  • North Augusta, SC
National Provider Identifier
1952643215
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
107BHS Issued in SC
Legal business name
THE FAMILY COUNSELING AND ASSOCIATES, LLC
Practice address
1011 East Ave
North Augusta, SC 29841-3411
Phone
(706) 321-2715
NPI assigned
Mar 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Mr. Demetrius Henderson, M.ED.
Title
Advisor
Phone
(803) 565-9742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 107BHS SC Primary

Addresses

Primary practice location

1011 East Ave
North Augusta, SC 29841-3411

Mailing address

1011 East Ave
North Augusta, SC 29841-3411
Phone (706) 321-2715

Other identifiers 1

IdentifierTypeStateIssuer
107BHSMedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
The Family Counseling and Associates2 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.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1952643215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 EAST AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413411",
            "telephone_number": "706-321-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 EAST AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413411",
            "telephone_number": "706-321-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY COUNSELING AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "ADVISOR",
        "authorized_official_telephone_number": "803-565-9742",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "107BHS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107BHS",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.