Idaho Federtion of Families

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IDAHO FEDERTION OF FAMILIES

Practice address

704 N 7TH St
Boise, ID 83702-5503

Phone

(208) 433-8845

Fax

(208) 433-8337

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Patricia Martelle, LCSW

Title

Program Development Director

Phone

(208) 433-8845

Specialties & licenses 1

Addresses

Other names 1

• The Brick House Doing business as

Locations

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1528601440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N 7TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025503",
            "telephone_number": "208-433-8845",
            "fax_number": "208-433-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N 7TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025503",
            "telephone_number": "208-433-8845",
            "fax_number": "208-433-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO FEDERTION OF FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "MARTELLE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PROGRAM DEVELOPMENT DIRECTOR",
        "authorized_official_telephone_number": "208-433-8845",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brick House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Idaho Face & Voice, LLC
• Idaho Facial Imaging LLC
• Idaho Family Dental PLLC
• Idaho Family Physicians
• Idaho Family Wellness
• Idaho Foot & Ankle Associates
• Idaho Gastroenterology Associates, LLP
• Idaho GYN/Oncology Services, LLC
• Idaho Hand and Wrist
• Idaho Hand Center, PA

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.