Your Family Counseling Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

YOUR FAMILY COUNSELING CENTER, LLC

Practice address

1714 Northshore Dr
Sandpoint, ID 83864-2715

Phone

(208) 304-5325

Fax

(509) 215-2367

NPI assigned

Apr 17, 2020

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Mitchell, PSY.D

Title

Office Manager

Phone

(208) 304-5325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Connie Jean Mitchell, LCMHC

  • Counselor
  • Burlington, NC
  • NPI 1295230373

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1750901948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PENN LO DR",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273778772",
            "telephone_number": "208-304-5325",
            "fax_number": "509-215-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 NORTHSHORE DR",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642715",
            "telephone_number": "208-304-5325",
            "fax_number": "509-215-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-304-5325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda F Yoder, LMT
• Emily Marie York, CPM
• Carlyn R Young
• Michelle M Young, LMT
• Jessica Youngs, L.AC.
• Paul Zarodkiewicz, LMSW
• Kelly Jeanne Zehr, LCSW
• Mary Mikell Zimmerman, M.S.
• Robin Zimpel, LCPC

• Professional Counselor in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.