Organization Active NPI

Family Pathways Cooperative, Inc

  • Mental Health Counselor
  • Blackfoot, ID
National Provider Identifier
1336365097
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Sandee Young, LCSWNPI 1215177704
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
805060200MedicaidID

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.