NPI age
10 years
Enumerated 2015-05-26
● Active Type 2 · Organization
Subpart
Bannock County Family Treatment Center
Bannock County Family Treatment Center is 1 of 266 counselor organizations in Idaho.
Primary specialty
Counselor
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Andrew
Clinical Director
Last NPPES update
2015-05-26
Source: monthly bulk 2026-05
How this organization compares
Across 266 active counselor providers in Idaho.
NPI age
10 years
≈ at median (9 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 17% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-05Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
141 N 6th Ave
Pocatello, ID 832016209
Mailing address
141 N 6th Ave
Pocatello, ID 832016209
Authorized official
Kimberly Jo Andrew, LCPC
Clinical Director
📞 2082367089
Specialties
-
Counselor PrimaryDefinition to come...
-
CounselorDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
Subpart of Bannock County.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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