Active NPI
Jennifer Marie Miles, LCSW
- Clinical Social Worker
- Pocatello, ID
National Provider Identifier
1083017578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-35341
- Practice address
- 1368 El Rancho Blvd
Pocatello, ID 83201-2808 - Phone
- (208) 339-6565
- NPI assigned
- Sep 29, 2014
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-35341 | ID | Primary |
Addresses
Primary practice location
1368 El Rancho Blvd
Pocatello, ID 83201-2808
Mailing address
1368 El Rancho
Pocatello, ID 83201-2803
Phone (208) 339-6565
Other names 1
- Jennifer Marie Parkhouse
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willard House Inc | Current | Accepting new patients | |
| Consumer Care LLC | Multi-Specialty | Current | Accepting new patients |
| Imhealth LLC | Multi-Specialty | Past | Accepting new patients |
Locations
645 W Clark St
Pocatello, ID 83204
Phone (208) 234-9361
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Pocatello, ID
- NPI 1811762875
-
- Assisted Living Facility (Mental Illness)
- Pocatello, ID
- NPI 1346864857
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pocatello, ID
- NPI 1114599321
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1083017578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1368 EL RANCHO",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012803",
"telephone_number": "208-339-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1368 EL RANCHO BLVD",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012808",
"telephone_number": "208-339-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-35341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "PARKHOUSE",
"middle_name": "MARIE",
"credential": "JENNIFER LARSEN",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.