NPIMap

Organization Active NPI

Family Care Center, Inc

  • Mental Health Counselor
  • Idaho Falls, ID
National Provider Identifier
1902930407
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY CARE CENTER, INC
Doing business as
Family Care Center, Inc
Practice address
148 N Corner St
Idaho Falls, ID 83402-4032
Phone
(208) 523-0785
Fax
(208) 523-0785
NPI assigned
Mar 15, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Thana Singarajah, LPCP69
Title
Executive Director
Phone
(208) 529-8832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ID Primary

Addresses

Primary practice location

148 N Corner St
Idaho Falls, ID 83402-4032

Mailing address

1740 E 17TH St Ste B
Idaho Falls, ID 83404-6375
Phone (208) 529-8832

Other identifiers 1

IdentifierTypeStateIssuer
8M343OtherIDBLUE CROSS OF IDAHO

Other names 1

  • FAMILY CARE CENTER, INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Care Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

148 N Corner St
Idaho Falls, ID 83402
Phone (208) 523-0785

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902930407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 E 17TH ST STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046375",
            "telephone_number": "208-529-8832",
            "fax_number": "208-522-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N CORNER ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024032",
            "telephone_number": "208-523-0785",
            "fax_number": "208-523-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SINGARAJAH",
        "authorized_official_first_name": "THANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-529-8832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCP69"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "8M343",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE CENTER, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.