NPI age
12 years
Enumerated 2013-09-06
● Active Type 2 · Organization
Subpart
Bannock Youth Foundation
Bannock Youth Foundation is 1 of 266 counselor organizations in Idaho.
Primary specialty
Counselor
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hansen
Clinical Director
Last NPPES update
2013-09-06
Source: monthly bulk 2026-05
How this organization compares
Across 266 active counselor providers in Idaho.
NPI age
12 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 17% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-09Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
110 South 19th
Pocatello, ID 83201
Mailing address
P.o. Box 246
Pocatello, ID 83204
Authorized official
Cindy K Hansen, M.A.
Clinical Director
📞 2082344722
Specialties
-
Counselor PrimaryDefinition to come...
-
CounselorDefinition to come...
-
Substance Abuse Rehabilitation FacilityA facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
M.K. Place
Practice context
Single-site organization. Only one practice location on file.
Subpart of Bannock Youth Foundation.
Provyx · Custom healthcare lists
Need all 266 Counselor providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.