Active NPI
Better Outlook Family Resource Center
- Mental Health Counselor
- Blackfoot, ID
National Provider Identifier
1720182926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BETTER OUTLOOK FAMILY RESOURCE CENTER
- Practice address
- 495 N Shilling Ave
Blackfoot, ID 83221-2336 - Phone
- (208) 782-2050
- Fax
- (208) 785-2297
- NPI assigned
- Sep 11, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Angela Veronica Blom
- Title
- Co-Owner-Business Manager
- Phone
- (208) 478-2050
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Blackfoot, ID
- NPI 1760512396
-
- Clinical Social Worker
- Blackfoot, ID
- NPI 1548330814
National Provider Directory
National Provider DirectoryLocations
495 N Shilling Ave
Blackfoot, ID 83221
Phone (208) 782-2050
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
495 N Shilling Ave
Blackfoot, ID 83221-2336
Mailing address
427 N 4TH Ave
Pocatello, ID 83201
Phone (208) 478-2050
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80737300 | Medicaid | ID |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720182926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 N 4TH AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "83201",
"telephone_number": "208-478-2050",
"fax_number": "208-478-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 N SHILLING AVE",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832212336",
"telephone_number": "208-782-2050",
"fax_number": "208-785-2297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETTER OUTLOOK FAMILY RESOURCE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLOM",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "VERONICA",
"authorized_official_title_or_position": "CO-OWNER-BUSINESS MANAGER",
"authorized_official_telephone_number": "208-478-2050"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80737300",
"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 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.