Active NPI
Family Pathways Cooperative, Inc
- Mental Health Counselor
- Blackfoot, ID
National Provider Identifier
1336365097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FAMILY PATHWAYS COOPERATIVE, INC
- Practice address
- 34 Louella St
Blackfoot, ID 83221-1609 - Phone
- (208) 782-1322
- Fax
- (208) 782-1322
- NPI assigned
- Apr 18, 2007
- Last updated
- Apr 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandee Young, LCSW
- Title
- President
- Phone
- (208) 782-1322
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
34 Louella St
Blackfoot, ID 83221-1609
Mailing address
34 Louella St
Blackfoot, ID 83221-1609
Phone (208) 782-1322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805060200 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
34 Louella St
Blackfoot, ID 83221
Phone (208) 680-0542
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.
-
- Clinical Social Worker
- Blackfoot, ID
- NPI 1215177704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743552000000",
"number": "1336365097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 LOUELLA ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211609",
"telephone_number": "208-782-1322",
"fax_number": "208-782-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 LOUELLA ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211609",
"telephone_number": "208-782-1322",
"fax_number": "208-782-1322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PATHWAYS COOPERATIVE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "SANDEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-782-1322",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805060200",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.