Organization Active NPI

Better Outlook Family Resource Center

  • Mental Health Counselor
  • Blackfoot, ID
National Provider Identifier
1720182926
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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.

National Provider Directory

National Provider Directory

Locations

495 N Shilling Ave
Blackfoot, ID 83221
Phone (208) 782-2050

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
80737300MedicaidID

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.

Verify at the official NPI Registry.