Active NPI
Integrated Family & Community Services
- Mental Health Counselor
- Idaho Falls, ID
National Provider Identifier
1851713473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW1103
- Legal business name
- INTEGRATED FAMILY & COMMUNITY SERVICES
- Practice address
- 3355 S Holmes Ave
Idaho Falls, ID 83404-7981 - Phone
- (208) 523-2080
- Fax
- (208) 523-2799
- NPI assigned
- Jan 16, 2014
- Last updated
- Jan 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Bridges, LCSW
- Title
- Owner
- Phone
- (208) 523-2080
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCSW1103 | ID | |
| Mental Health Counselor | 101YM0800X | LCSW1103 | ID | Primary |
Addresses
Primary practice location
3355 S Holmes Ave
Idaho Falls, ID 83404-7981
Mailing address
3355 S Holmes Ave
Idaho Falls, ID 83404-7981
Phone (208) 523-2080
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1558656652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389830400000",
"number": "1851713473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 S HOLMES AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047981",
"telephone_number": "208-523-2080",
"fax_number": "208-523-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 S HOLMES AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047981",
"telephone_number": "208-523-2080",
"fax_number": "208-523-2799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED FAMILY & COMMUNITY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-16",
"last_updated": "2014-01-16",
"status": "A",
"authorized_official_last_name": "BRIDGES",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-523-2080",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ID",
"license": "LCSW1103",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LCSW1103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
- Innovative Health Care Concepts, Inc
- Innovative Health Care Concepts, Inc.
- Innovative Health Care Concepts, Inc.
- Insight and Empowerment, LLC
- Integrated Family & Community Services
- Integrated Healthcare & Counseling
- Integrated Healthcare & Counseling
- Integris Integrative Medical Center
- Interactive Service Connection
- Intermountain Anesthesia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.