FAMILY PATHWAYS COOPERATIVE, INC (NPI# 1336365097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336365097 |
| Entity Type | Organization |
| Organization Name | FAMILY PATHWAYS COOPERATIVE, INC |
| Practice Address |
75 Lilac St Blackfoot ID 83221-1768 |
| Practice Telephone | 2087821322 |
| Practice Fax Number | 2087821074 |
| Mailing Telephone | 2087821322 |
| Mailing Fax Number | 2087821074 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-02-17 |
| Authorized Official Name | SANDEE YOUNG (PRESIDENT) |
| Authorized Official Telephone | 2087821322 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805060200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619988979 | Family Pathways Cooperative, Inc | Day Training, Developmentally Disabled Services | 75 Lilac St, Blackfoot, ID 83221-1768 | 2006-08-11 |
| Street Address |
75 LILAC ST |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619988979 | Family Pathways Cooperative, Inc | Day Training, Developmentally Disabled Services | 75 Lilac St, Blackfoot, ID 83221-1768 | 2006-08-11 |
| 1912374810 | Stefney Layton | Social Worker | 75 Lilac St, Blackfoot, ID 83221-1768 | 2015-08-26 |
| 1003113465 | Blackfoot Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 75 Lilac St, Blackfoot, ID 83221-1768 | 2011-02-22 |
| 1215177704 | Sandee K Young | Social Worker | 75 Lilac St, Blackfoot, ID 83221-1768 | 2009-02-24 |
| 1629107867 | Family Pathways Cooperative | Case Management | 75 Lilac St, Blackfoot, ID 83221-1768 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538352828 | Awareness Center for Counseling | Community/Behavioral Health | 167 W Bridge St, Blackfoot, ID 83221-2704 | 2007-08-21 |
| 1366593964 | A To Z Family Services Inc. | Community/Behavioral Health | 150 S Broadway St, Blackfoot, ID 83221-2711 | 2007-01-12 |
| 1316000441 | The Living Farm, PC | Community/Behavioral Health | 373 W Highway 39 # 2, Blackfoot, ID 83221-5600 | 2006-12-19 |
| 1568006815 | Stillwaters Counseling LLC | Community/Behavioral Health | 1309 Camas St, Blackfoot, ID 83221-3060 | 2019-10-30 |
| 1780879700 | Southeastern Idaho Developmental Center, Inc. | Community/Behavioral Health | 765 W Judicial St, Blackfoot, ID 83221-2036 | 2007-09-12 |
| 1609094929 | A To Z Family Services Inc. | Community/Behavioral Health | 150 S Broadway St, Blackfoot, ID 83221-2711 | 2007-04-23 |
| 1407074636 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 625 W Pacific St, Suite 2, Blackfoot, ID 83221-2034 | 2007-04-23 |
| 1104042944 | A To Z Family Services Inc. | Community/Behavioral Health | 150 S Broadway St, Blackfoot, ID 83221-2711 | 2007-04-18 |
| 1831315670 | A To Z Family Services Inc. | Community/Behavioral Health | 150 S Broadway St, Blackfoot, ID 83221-2711 | 2007-04-18 |
| 1467679035 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 625 W Pacific St, Suite 2, Blackfoot, ID 83221-2034 | 2007-04-18 |
| Find all providers in BLACKFOOT | ||||
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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.