NPIMap

Organization Active NPI

Franciscan Life Center Network, Inc.

Doing business as Francisacan Counseling Center

  • Mental Health Counselor
  • Pocatello, ID
National Provider Identifier
1912088253
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCP-204 Issued in ID
Legal business name
FRANCISCAN LIFE CENTER NETWORK, INC.
Doing business as
Francisacan Counseling Center
Practice address
1745 Pocatello Creek Rd
Pocatello, ID 83201-2308
Phone
(208) 233-9383
Fax
(208) 233-2707
NPI assigned
Oct 17, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANCISCAN LIFE CENTER NETWORK, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Sister Mary Paul Moller, LCPC AND LMFT
Title
Counselor
Phone
(208) 233-9383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LPCP-204 ID Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMFT-3003 ID

Addresses

Primary practice location

1745 Pocatello Creek Rd
Pocatello, ID 83201-2308

Mailing address

1745 Pocatello Creek Rd
Pocatello, ID 83201-2308
Phone (208) 233-9383

Other identifiers 1

IdentifierTypeStateIssuer
805747600MedicaidID

Other names 1

  • Francisacan Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Franciscan Life Center Network9 organizations share this tax ID, including this one
Part of
Franciscan Life Center Network

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1912088253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 POCATELLO CREEK RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012308",
            "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 RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012308",
            "telephone_number": "208-233-9383",
            "fax_number": "208-233-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN LIFE CENTER NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN LIFE CENTER NETWORK, INC",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "MOLLER",
        "authorized_official_first_name": "SISTER MARY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "208-233-9383",
        "authorized_official_credential": "LCPC AND LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPCP-204",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-3003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805747600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Francisacan 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 Jun 24, 2008; 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.