Organization Active NPI

Summit Recovery and Wellness

  • Addiction (Substance Use Disorder) Counselor
  • Twin Falls, ID
National Provider Identifier
1023939543
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SUMMIT RECOVERY AND WELLNESS
Practice address
1935 Canyon Crest Dr Apt 105
Twin Falls, ID 83301-8009
Phone
(208) 841-9622
NPI assigned
Jul 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Erin L Dominguez, CADC
Title
Drug and Alcohol Counselor
Phone
(208) 841-9622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1935 Canyon Crest Dr Apt 105
Twin Falls, ID 83301-8009

Mailing address

1935 Canyon Crest Dr Apt 105
Twin Falls, ID 83301-8009
Phone (208) 841-9622

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1023939543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 CANYON CREST DR APT 105",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018009",
            "telephone_number": "208-841-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 CANYON CREST DR APT 105",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018009",
            "telephone_number": "208-841-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT RECOVERY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DRUG AND ALCOHOL COUNSELOR",
        "authorized_official_telephone_number": "208-841-9622",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.