NPI age
19 years
Enumerated 2007-01-11
● Active Type 2 · Organization
Candlewood Family Counseling Center, Inc.
Candlewood Family Counseling Center, Inc. is 1 of 326 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dingman
Adminstrator
Last NPPES update
2013-01-16
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
335 N Main St
Pocatello, ID 832043108
Mailing address
335 N Main St
Pocatello, ID 832043108
Authorized official
Ella Dingman, LCSW
Adminstrator
📞 2084788340
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Victoria Bertler Social Worker NPI 1710207238
- Brooke Golightly, LCSW Social Worker NPI 1528304722
- Daniel Herrera, B.A. R.C. Case Manager/Care Coordinator NPI 1508363094
- Colene Meusborn, LCSW, DCSW Social Worker NPI 1669515805
- David Roberts, LCPC Counselor NPI 1710269170
- Nancy Wheeler, LCSW Social Worker NPI 1386787521
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1093911828 | |
| 05 (ID) | 1912103748 | |
| 05 (ID) | 1831395656 | |
| 05 (ID) | 1588860308 |
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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