NPIMap

Organization Active NPI

LDS Family Services

Doing business as LDS Family Services ID Idaho Falls

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
National Provider Identifier
1073662052
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
19643 Issued in ID
Legal business name
LDS FAMILY SERVICES
Doing business as
LDS Family Services ID Idaho Falls
Practice address
1600 John Adams Pkwy
Suite 102
Idaho Falls, ID 83401-4300
Phone
(208) 529-5276
Fax
(208) 529-6506
NPI assigned
Jan 9, 2007
Last updated
Oct 7, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Mr. Claigh H Jensen, LCSWNPI 1033263165
Title
Counseling Manager
Phone
(208) 529-5276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 19643 ID Primary

Addresses

Primary practice location

1600 John Adams Pkwy
Suite 102
Idaho Falls, ID 83401-4300

Mailing address

1600 John Adams Pkwy
Suite 102
Idaho Falls, ID 83401-4300
Phone (208) 529-5276

Other names 1

  • LDS Family Services ID Idaho Falls Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thomas K Baxter LCSW46 organizations share this tax ID, including this one
Part of
Thomas K Baxter LCSW

Other organizations with this tax ID 45

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

View all 45

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1073662052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 JOHN ADAMS PKWY",
            "address_2": "SUITE 102",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014300",
            "telephone_number": "208-529-5276",
            "fax_number": "208-529-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 JOHN ADAMS PKWY",
            "address_2": "SUITE 102",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014300",
            "telephone_number": "208-529-5276",
            "fax_number": "208-529-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CLAIGH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "COUNSELING MANAGER",
        "authorized_official_telephone_number": "208-529-5276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "19643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services ID Idaho Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.