NPIMap

Organization Active NPI

Apex Professional Services

  • Mental Health Counselor
  • Pocatello, ID
National Provider Identifier
1023101862
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-3191 Issued in ID
Legal business name
APEX PROFESSIONAL SERVICES
Practice address
611 Wilson Ave
Suite C-3
Pocatello, ID 83201-5046
Phone
(208) 904-0225
Fax
(866) 704-4580
NPI assigned
Oct 2, 2006
Last updated
Oct 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debbi J Boyd, MC, NCC, LCPC
Title
Owner
Phone
(208) 904-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LCPC-3191 ID Primary

Addresses

Primary practice location

611 Wilson Ave
Suite C-3
Pocatello, ID 83201-5046

Mailing address

PO Box 2297
Pocatello, ID 83206-2297
Phone (208) 904-0225

Other identifiers 2

IdentifierTypeStateIssuer
8N607OtherIDBLUE CROSS OF IDAHO
000010139156OtherIDREGENCE BLUE SHIELD OF ID

National Provider Directory

National Provider Directory
Tax ID family
Apex Professional Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1023101862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2297",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832062297",
            "telephone_number": "208-904-0225",
            "fax_number": "866-704-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WILSON AVE",
            "address_2": "SUITE C-3",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015046",
            "telephone_number": "208-904-0225",
            "fax_number": "866-704-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-904-0225",
        "authorized_official_credential": "MC, NCC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-3191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "8N607",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010139156",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.