CINDY YOUNGSTROM (NPI# 1508165911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508165911 |
| Entity Type | Individual |
| Full Name | CINDY YOUNGSTROM |
| Credential | LPC |
| Practice Address |
2055 Garrett Way Ste 1 Pocatello ID 83201-5100 |
| Mailing Address |
Po Box 4908 Pocatello ID 83205-4908 |
| Practice Telephone | 2082337832 |
| Mailing Telephone | 2082327832 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-3457 | ID | Behavioral Health & Social Service Providers |
| Street Address |
2055 GARRETT WAY STE 1 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174629976 | Portneuf Valley Family Center | Counselor | 2055 Garrett Way, Suite 1, Pocatello, ID 83201-5100 | 2006-09-16 |
| 1326498981 | Idaho Transportation Company, Inc | Non-emergency Medical Transport (VAN) | 2055 Garrett Way, Pocatello, ID 83201-5100 | 2016-06-14 |
| 1003178559 | Courtney Moore | Counselor | 2055 Garrett Way, Ste 2, Pocatello, ID 83201-5100 | 2012-06-11 |
| 1225304074 | Trevor Sparrow | Counselor | 2055 Garrett Way, Ste 1, Pocatello, ID 83201-5100 | 2012-03-27 |
| 1396011284 | Mandy Tate | Counselor | 2055 Garrett Way, Ste 1, Pocatello, ID 83201-5100 | 2012-03-26 |
| 1285900183 | Brett Sayer | Counselor | 2055 Garrett Way, Ste 1, Pocatello, ID 83201-5100 | 2012-03-26 |
| 1841565199 | Joann S Martinez | Social Worker | 2055 Garrett Way, Pocatello, ID 83201-5100 | 2012-03-20 |
| 1285907154 | Kerry Olson | Counselor | 2055 Garrett Way, Ste 1, Pocatello, ID 83201-5100 | 2012-02-22 |
| 1043580855 | Darci J Kearn | Counselor | 2055 Garrett Way, Ste 2, Pocatello, ID 83201-5100 | 2012-01-10 |
| 1669742524 | Larry Lisonbee | Counselor | 2055 Garrett Way, Ste 2, Pocatello, ID 83201-5100 | 2012-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081311 | Catherine Leavitt | Counselor | 921 S 8th Ave # 8136, Pocatello, ID 83209-0002 | 2020-07-29 |
| 1407363690 | Kimberly B Rasmussen, Pllc | Counselor | 850 E Center St Ste F, Pocatello, ID 83201-5737 | 2018-01-09 |
| 1508396714 | Steven Richard Miner | Counselor | 440 E Clark St Ste A, Pocatello, ID 83201-6308 | 2017-06-20 |
| 1306210398 | Amanda Bland | Counselor | 1133 Rowland Rd, Pocatello, ID 83204-7416 | 2015-11-14 |
| 1962804757 | Gary Sean Redford | Counselor | 12930 N Rio Vista Rd, Pocatello, ID 83202-5007 | 2014-09-23 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1437585189 | Shayla F Ward | Counselor | 459 S Arthur Ave, Pocatello, ID 83204-3303 | 2013-09-25 |
| 1366781262 | Gail Taylor Thorngren | Counselor | 201 E Center St Ste B, Pocatello, ID 83201-6339 | 2013-02-12 |
| 1851650691 | Christine Collaer-muzzo | Counselor | 120 S 12th Ave Ste 4, Pocatello, ID 83201-4814 | 2012-05-14 |
| 1164780706 | Kimberly Jo Andrew | Counselor | 421 E Oak St, Pocatello, ID 83201-4601 | 2012-05-02 |
| Find all providers in POCATELLO | ||||
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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.