4 Pillars of Success LLC
A Medicare group practice based in Ammon, ID: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4688027188), with 27 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4688027188
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- ID
- Enrollments
- 1
- Group size
- 19 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20240131004474 | ID | Part B Supplier - Clinic/Group Practice | 1619134277 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
4 Pillars of Success LLC
dba Rehabilitative Health Services
- Multi-Specialty Clinic/Center
- Ammon, ID
- NPI 1619134277
Practice locations
- Ammon, ID2
Clinicians 27
Clinicians who reassign their Medicare benefits to this group (27) or whom Care Compare lists as members (19).
-
David Paul Adams, FNP-C
- Nurse Practitioner
- Ammon, ID
- NPI 1417443631
-
Stacey Lyn Allen, CSW
- Clinical Social Worker
- Ammon, ID
- NPI 1134459548
-
Michelyn Devine, PSY.D.
- Clinical Psychologist
- Shelley, ID
- NPI 1841319225
-
Erica Lynne Finney, LCSW
- Social Worker
- Rexburg, ID
- NPI 1316395205
-
Kristy Diane Goodson
- Clinical Social Worker
- Ammon, ID
- NPI 1194156216
-
Brett L Hampton, LMSW
- Social Worker
- Idaho Falls, ID
- NPI 1053683904
-
Tiffany Hayner, LMSW
- Clinical Social Worker
- Ammon, ID
- NPI 1477018323
-
Charlene Hertzberg, LCSW
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1952054249
-
Sara Jean Hiatt, LCSW
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1811358195
-
David Charles Homer, LCSW
- Clinical Social Worker
- Ammon, ID
- NPI 1649336488
-
Sonja Johnson, LPC
- Professional Counselor
- Ammon, ID
- NPI 1003795022
-
Johnathan Koelsch, LMSW
- Clinical Social Worker
- Ammon, ID
- NPI 1326409913
-
Itzel Labra
- Social Worker
- Idaho Falls, ID
- NPI 1104481530
-
Elizabeth Loosli, LCSW
- Clinical Social Worker
- Ammon, ID
- NPI 1578024832
-
Ashlie Losee, MSN, APRN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Ammon, ID
- NPI 1760115505
-
Rebecca Lynne Malan, MSW, LICSW, LCSW
- Clinical Social Worker
- West St Paul, MN
- NPI 1487774063
-
Kenneth Roy Marlowe, LCPC
- Professional Counselor
- Ammon, ID
- NPI 1922335678
-
Tamara Ann Melville, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Ammon, ID
- NPI 1760538805
-
April A Moedl, LMSW
- Social Worker
- Ammon, ID
- NPI 1225346190
-
Whitney Lee Moore, DNP, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Ammon, ID
- NPI 1770150484
-
Valerie Ann P'Pool, LCSW
- Clinical Social Worker
- Ammon, ID
- NPI 1821395732
-
Colton Jeffery Phelps, MSN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Ammon, ID
- NPI 1316767205
-
Suzanne Taylor Powers, LCSW
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1265670491
-
Keaton Jake Suitter, LPC
- Mental Health Counselor
- Idaho Falls, ID
- NPI 1639852668
-
Staci Sutherland, LMSW
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1477219061
-
Nicole Vadnais, LCPC
- Professional Counselor
- Ammon, ID
- NPI 1265905772
-
Megann Wilkerson, LCSW
- Clinical Social Worker
- Ammon, ID
- NPI 1669075222
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.