Organization Active NPI

Family Table LLC

Doing business as The Family Table

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meridian, ID
National Provider Identifier
1760282107
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FAMILY TABLE LLC
Doing business as
The Family Table
Practice address
1005 E Franklin Rd
Meridian, ID 83642-5951
Phone
(208) 859-5028
NPI assigned
Mar 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Christopher Ames Heindel, LMFTNPI 1790379436
Title
Owner/Manager
Phone
(208) 859-5028

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1005 E Franklin Rd
Meridian, ID 83642-5951

Mailing address

6050 Sunrise Ave
Kuna, ID 83634-1533
Phone (208) 859-5028

Other names 1

  • The Family Table Doing business as

National Provider Directory

National Provider Directory

Locations

1005 E Franklin Rd
Meridian, ID 83642
Phone (208) 855-9301

Practitioners & affiliated clinicians

Practitioners 1

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": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1760282107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 SUNRISE AVE",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341533",
            "telephone_number": "208-859-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E FRANKLIN RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425951",
            "telephone_number": "208-859-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TABLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "HEINDEL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "AMES",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "208-859-5028",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Table",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.