CANDLEWOOD FAMILY COUNSELING CENTER, INC. (NPI# 1093911828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093911828 |
| Entity Type | Organization |
| Organization Name | CANDLEWOOD FAMILY COUNSELING CENTER, INC. |
| Practice Address |
335 N Main St Pocatello ID 83204-3108 |
| Mailing Address |
Po Box 2306 Pocatello ID 83206-2306 |
| Practice Telephone | 2084788340 |
| Practice Fax Number | 2084788341 |
| Mailing Telephone | 2084788340 |
| Mailing Fax Number | 2084788341 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2015-02-19 |
| Authorized Official Name | MS. ELLA DINGMAN (PRESIDENT, ADMINISTRATOR) |
| Authorized Official Telephone | 2084788340 |
| Authorized Official Credential | LCSW, ACSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1831395656 | 05 | |
| ID | 1912103748 | 05 | |
| ID | 1588860308 | 05 | |
| ID | 1093911828 | 05 | |
| ID | PRIVATE INSURANCE | 1174673305 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760688584 | Candlewood Family Counseling Center, Inc. | Community/Behavioral Health | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| 1588860308 | Candlewood Family Counseling Center, Inc. | Case Management | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| 1831395656 | Candlewood Family Counseling Center, Inc. | Community/Behavioral Health | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| 1912103748 | Candlewood Family Counseling Center, Inc. | Case Management | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| 1285830018 | Candlewood Family Counseling Center, Inc. | Case Management | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| 1174673305 | Candlewood Family Counseling Center, Inc. | Clinic/Center | 335 N Main St, Pocatello, ID 83204-3108 | 2007-01-11 |
| Street Address |
335 N MAIN ST |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508363094 | Daniel Herrera | Case Manager/Care Coordinator | 335 N Main St, Pocatello, ID 83204-3108 | 2018-04-10 |
| 1487109047 | Cassandra R Noyes | Counselor | 335 N Main St, Pocatello, ID 83204-3108 | 2016-08-23 |
| 1821463704 | Juan Lucero | Social Worker | 335 N Main St, Pocatello, ID 83204-3108 | 2015-12-03 |
| 1528304722 | Brooke J Golightly | Social Worker | 335 N Main St, Pocatello, ID 83204-3108 | 2012-12-17 |
| 1710269170 | David W. Roberts | Counselor | 335 N Main St, Pocatello, ID 83204 | 2011-09-12 |
| 1710207238 | Victoria Bertler | Social Worker | 335 N Main St, Pocatello, ID 83204-3108 | 2010-06-07 |
| 1760688584 | Candlewood Family Counseling Center, Inc. | Community/Behavioral Health | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| 1588860308 | Candlewood Family Counseling Center, Inc. | Case Management | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| 1831395656 | Candlewood Family Counseling Center, Inc. | Community/Behavioral Health | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| 1912103748 | Candlewood Family Counseling Center, Inc. | Case Management | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| Find all providers in zip 83204 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649756057 | City Creek Counseling, LLC | Clinic/Center | 1219 Yellowstone Ave Ste D, Pocatello, ID 83201-4368 | 2018-07-18 |
| 1992040323 | A To Z Family Services, Inc. | Clinic/Center | 732 Washington, Pocatello, ID 83201 | 2012-12-12 |
| 1063837003 | Redford Counseling and Family Services | Clinic/Center | 1501 Bench Rd, Pocatello, ID 83201-2443 | 2014-02-27 |
| 1194063750 | Physicians Mental Health Services | Clinic/Center | 475 Yellowstone Ave, Suite E, Pocatello, ID 83201-4528 | 2013-01-16 |
| 1164639290 | Turning Point Counseling & Partial Care Center, Inc | Clinic/Center | 3330 Highway 30 W, Pocatello, ID 83201-6001 | 2007-05-17 |
| 1528271897 | Apex Professional Services | Clinic/Center | 611 Wilson Ave, Suite 3-c, Pocatello, ID 83201-5046 | 2007-05-07 |
| 1225169139 | Idaho Dept of Health & Welfare Reg 6 Amh Psr Poc | Clinic/Center | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2007-03-09 |
| 1174673305 | Candlewood Family Counseling Center, Inc. | Clinic/Center | 335 N Main St, Pocatello, ID 83204-3108 | 2007-01-11 |
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| 1356959191 | Healing Minds LLC | Clinic/Center | 6586 W Flagstaff St, Rathdrum, ID 83858-8203 | 2020-07-17 |
| 1487273637 | Answers, LLC - Cbrs | Clinic/Center | 855 N Capital Ave Ste 1, Idaho Falls, ID 83402-3405 | 2020-04-08 |
| 1649808767 | Psychological Preventative Health Pllc | Clinic/Center | 4831 Greystone Ln, Idaho Falls, ID 83404-8338 | 2020-04-01 |
| 1073148623 | Begin Within Counseling, LLC | Clinic/Center | 943 W Overland Rd Ste 111, Meridian, ID 83642-6541 | 2020-03-04 |
| 1871126797 | Avanzar Wellness LLC | Clinic/Center | 11513 W Fairview Ave Ste 105, Boise, ID 83713-7887 | 2020-02-19 |
| 1174155741 | Noble Intent | Clinic/Center | 1406 N Main St Ste 204, Meridian, ID 83642-1746 | 2020-02-11 |
| 1194362517 | Advanced Counseling LLC | Clinic/Center | 39 W Pine Ave, Meridian, ID 83642-2281 | 2019-12-04 |
| 1629615406 | Building A Life Worth Living, LLC | Clinic/Center | 771 S Woodruff Ave, Idaho Falls, ID 83401-5286 | 2019-11-29 |
| 1750927281 | Weme Counseling and Clinical Consultation | Clinic/Center | 231 N Third Ave Ste 207, Sandpoint, ID 83864-1418 | 2019-11-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.