NPIMap

Organization Active NPI

Franciscan Life Center Network

  • Mental Health Counselor
  • Pocatello, ID
National Provider Identifier
1871669903
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FRANCISCAN LIFE CENTER NETWORK
Practice address
1745 Pocatello Creek
Pocatello, ID 83206
Phone
(208) 233-9383
Fax
(208) 233-2707
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Mary Paul Moller, LCPC
Title
Marriage &Family Therapist
Phone
(208) 233-9383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

1745 Pocatello Creek
Pocatello, ID 83206

Mailing address

PO Box 2955
1745 Pocatello Creek
Pocatello, ID 83206
Phone (208) 233-9383

Other names 1

  • Franciscan Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Franciscan Life Center Network Incorporated9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1871669903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2955",
            "address_2": "1745 POCATELLO CREEK",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83206",
            "telephone_number": "208-233-9383",
            "fax_number": "208-233-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 POCATELLO CREEK",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83206",
            "telephone_number": "208-233-9383",
            "fax_number": "208-233-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN LIFE CENTER NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "MOLLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MARRIAGE &FAMILY THERAPIST",
        "authorized_official_telephone_number": "208-233-9383",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.