Organization Active NPI

Preferred Child and Family Services, Inc.

  • Counselor
  • Twin Falls, ID
National Provider Identifier
1376561274
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PREFERRED CHILD AND FAMILY SERVICES, INC.
Practice address
284 Martin St
Twin Falls, ID 83301-4562
Phone
(208) 733-7186
Fax
(208) 733-7178
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Jason Beard
Title
Owner
Phone
(208) 733-7186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

284 Martin St
Twin Falls, ID 83301-4562

Mailing address

284 Martin St
Twin Falls, ID 83301-4562
Phone (208) 733-7186

Other identifiers 1

IdentifierTypeStateIssuer
806320000MedicaidID

National Provider Directory

National Provider Directory

Locations

1369 E 16th St
Burley, ID 83318
Phone (208) 678-9114

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1376561274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 MARTIN ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014562",
            "telephone_number": "208-733-7186",
            "fax_number": "208-733-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MARTIN ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014562",
            "telephone_number": "208-733-7186",
            "fax_number": "208-733-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CHILD AND FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-733-7186"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806320000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.