Organization Active NPI

Cook & Tafoya-Fisher Behavioral Health

  • Community/Behavioral Health Agency
  • Nampa, ID
National Provider Identifier
1700084290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW562 Issued in ID
Legal business name
COOK & TAFOYA-FISHER BEHAVIORAL HEALTH
Practice address
16 12TH Ave S Ste 103
Nampa, ID 83651-3962
Phone
(208) 461-3720
Fax
(208) 461-1787
NPI assigned
Jul 5, 2007
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. Corie Sue Cook, LMSWNPI 1487711305
Title
Mental Health Therapist
Phone
(208) 461-3720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW562 ID Primary

Addresses

Primary practice location

16 12TH Ave S Ste 103
Nampa, ID 83651-3962

Mailing address

16 12TH Ave S Suite 103
Nampa, ID 83651
Phone (208) 461-3720

National Provider Directory

National Provider Directory

Locations

16 12th Ave S
Ste 103
Nampa, ID 83651
Phone (208) 461-3720

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700084290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 12TH AVE S SUITE 103",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83651",
            "telephone_number": "208-461-3720",
            "fax_number": "208-461-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 12TH AVE S STE 103",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513962",
            "telephone_number": "208-461-3720",
            "fax_number": "208-461-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK & TAFOYA-FISHER BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CORIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "208-461-3720",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, 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.