NPIMap

Organization Active NPI

Family Services Counseling Center

  • Community/Behavioral Health Agency
  • Caldwell, ID
National Provider Identifier
1912333238
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6817 Issued in ID
Legal business name
FAMILY SERVICES COUNSELING CENTER
Practice address
704 Albany St
Caldwell, ID 83605-3501
Phone
(208) 454-5133
Fax
(208) 454-0749
NPI assigned
Sep 18, 2013
Last updated
Sep 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Mr. Hector De Leon, LSW, MSW, CADC
Title
Executive Director
Phone
(208) 454-5133

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 6817 ID
Community/Behavioral Health Agency 251S00000X 6817 ID Primary

Addresses

Primary practice location

704 Albany St
Caldwell, ID 83605-3501

Mailing address

704 Albany St
Caldwell, ID 83605-3501
Phone (208) 454-5133

Other identifiers 1

IdentifierTypeStateIssuer
6817OtherIDSUBSTANCE ABUSE TREATMENT

National Provider Directory

National Provider Directory

Locations

704 Albany St
Caldwell, ID 83605
Phone (208) 454-5133

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1912333238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 ALBANY ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053501",
            "telephone_number": "208-454-5133",
            "fax_number": "208-454-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 ALBANY ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053501",
            "telephone_number": "208-454-5133",
            "fax_number": "208-454-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "DE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-454-5133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSW, MSW, CADC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "6817",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "6817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE TREATMENT",
            "identifier": "6817",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.