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M.K. PLACE
NPI 1245665470
Counselor - Addiction (Substance Use Disorder) in Pocatello, ID

Active since September 06, 2013
110 SOUTH 19TH, POCATELLO, ID 83201(208) 234-4722(208) 234-2135 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About M.k. Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M.K. PLACE (NPI 1245665470) is a healthcare organization registered as an addiction (substance use disorder) in Pocatello, Idaho and active in the NPI registry since September 2013. The organization lists Cindy K Hansen, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1245665470
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameBANNOCK YOUTH FOUNDATION
Location Address110 SOUTH 19THPocatello, ID 83201
Mailing AddressP.o. Box 246Pocatello, ID 83204 · (208) 234-4722 · Fax (208) 234-2135
Phone(208) 234-4722
Fax(208) 234-2135
Organization SubpartYes
Authorized OfficialCindy K HansenClinical Director · (208) 234-4722
Enumeration DateSeptember 6, 2013
✔ NPI 1245665470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
110 SOUTH 19TH, Pocatello, ID 83201
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Other Names 1

Doing Business AsM.k. Place

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bannock Youth Foundation's NPI number?

The NPI number for Bannock Youth Foundation is 1245665470. It was assigned to this organization in the NPPES registry on September 6, 2013. The provider is doing business as M.K. Place.

Where is Bannock Youth Foundation located?

Bannock Youth Foundation is located at 110 South 19th, Pocatello, ID 83201. The listed phone number is (208) 234-4722.

What is Bannock Youth Foundation's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Bannock Youth Foundation was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.