Higher Ground Retreat, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

LCSW 1159 Issued in ID

Legal business name

HIGHER GROUND RETREAT, LLC

Practice address

17626 Deer Flat Rd
Caldwell, ID 83607-9779

Phone

(855) 497-4763

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Beatrice Susan Carroll, LCSW, LMFT

Title

Executive Director

Phone

(208) 440-7009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1083977656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17626 DEER FLAT RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836079779",
            "telephone_number": "855-497-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17626 DEER FLAT RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836079779",
            "telephone_number": "855-497-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHER GROUND RETREAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-440-7009",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "ID",
            "license": "LCSW 1159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney M Herter, LCPC
• Patrick Omura Hessler, DPT
• Tyler Carl Higgins, PHARMD
• High Desert Wound Care and Hyperbarics PLLC
• Higher Ground Laboratory LLC
• Amy Hilderbrand, LMSW
• Hunter Hill, PMHNP
• Holly Ann Hillier, PHARMD
• HNH Birdie One, LLC
• Ashley Hocken, LPC

• Substance Abuse Rehabilitation Facility in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Substance Abuse Rehabilitation Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.