NPIMap

Organization Active NPI

Family Support Services of North Idaho

  • Mental Health Counselor
  • Coeur d'Alene, ID
National Provider Identifier
1124124797
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY SUPPORT SERVICES OF NORTH IDAHO
Practice address
1115 W Ironwood Dr
Suite C
Coeur D Alene, ID 83814-4936
Phone
(208) 769-4222
Fax
(208) 667-7557
NPI assigned
Sep 14, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Jodi Smith, M.EDNPI 1053755967
Title
Executive Director
Phone
(208) 769-4222

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X ID Primary

Addresses

Primary practice location

1115 W Ironwood Dr
Suite C
Coeur D Alene, ID 83814-4936

Mailing address

1115 W Ironwood Dr
Suite C
Coeur D Alene, ID 83814-4936
Phone (208) 769-4222

National Provider Directory

National Provider Directory
Tax ID family
Family Support Services of North Idaho5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1115 W Ironwood Dr
Ste C
Coeur D Alene, ID 83814
Phone (208) 769-4222

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124124797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 W IRONWOOD DR",
            "address_2": "SUITE C",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144936",
            "telephone_number": "208-769-4222",
            "fax_number": "208-667-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 W IRONWOOD DR",
            "address_2": "SUITE C",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144936",
            "telephone_number": "208-769-4222",
            "fax_number": "208-667-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT SERVICES OF NORTH IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-769-4222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.