NPIMap

Organization Active NPI

J&M Mental Health, Inc.

  • Case Management Agency
  • Blackfoot, ID
National Provider Identifier
1609990274
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
J&M MENTAL HEALTH, INC.
Practice address
60 N Broadway St
Blackfoot, ID 83221-2706
Phone
(208) 782-1102
Fax
(208) 782-1389
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Bernice Marley, LSW
Title
Supervisor
Phone
(208) 782-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

60 N Broadway St
Blackfoot, ID 83221-2706

Mailing address

PO Box 1472
Blackfoot, ID 83221-1472
Phone (208) 782-1102

National Provider Directory

National Provider Directory
Tax ID family
JM Mental Health Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609990274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1472",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211472",
            "telephone_number": "208-782-1102",
            "fax_number": "208-782-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N BROADWAY ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212706",
            "telephone_number": "208-782-1102",
            "fax_number": "208-782-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&M MENTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARLEY",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "208-782-1102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.