NPIMap

Organization Active NPI

Redford Counseling and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pocatello, ID
National Provider Identifier
1063837003
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LMSW - 26140 Issued in ID
Legal business name
REDFORD COUNSELING AND FAMILY SERVICES
Practice address
1501 Bench Rd
Pocatello, ID 83201-2443
Phone
(208) 242-3044
Fax
(208) 904-0494
NPI assigned
Feb 27, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Mr. Barry Robb Redford, LMSW
Title
Owner
Phone
(208) 604-0098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LMSW - 26140 ID Primary

Addresses

Primary practice location

1501 Bench Rd
Pocatello, ID 83201-2443

Mailing address

1501 Bench Rd
Pocatello, ID 83201-2443

National Provider Directory

National Provider Directory

Locations

1501 Bench Rd
Pocatello, ID 83201
Phone (208) 242-3044

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1063837003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BENCH RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BENCH RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012443",
            "telephone_number": "208-242-3044",
            "fax_number": "208-904-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDFORD COUNSELING AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "REDFORD",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "ROBB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-604-0098",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ID",
            "license": "LMSW - 26140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.