Padron Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PADRON COUNSELING SERVICES, LLC

Practice address

522 Lomax St
Idaho Falls, ID 83401-2634

Phone

(208) 522-6925

Fax

(208) 522-6934

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Heather Jean Johnson

Title

Office Manager

Phone

(208) 522-6925

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1023634672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 LOMAX ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834012634",
            "telephone_number": "208-522-6925",
            "fax_number": "208-522-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 LOMAX ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834012634",
            "telephone_number": "208-522-6925",
            "fax_number": "208-522-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADRON COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-522-6925"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Richard Kai Pack, D.O.
• David Thomas Packer, BS
• Flint R. Packer, D.O.
• Nicole C Packer, B.S.
• Scott M Packer, MD
• Padron Counseling Services, LLC
• Jorge Padron, CADC
• Merrill Page
• Michaelina S Page, RN
• Casondra Dawn Pahis, DPT

• Community/Behavioral Health Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.