NPIMap

Center Counseling, LLC

Organization Active NPI Mental Health Counselor · Chubbuck, ID

NPI 1104374974 · NPPES record last updated Feb 21, 2020

Key facts

NPI
1104374974
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
CENTER COUNSELING, LLC
Practice address
265 East Chubbuck
Chubbuck, ID 83202-5055
Phone
(208) 406-3399
NPI assigned
Sep 21, 2016
Organization subpart
No

Authorized official

Name
William McKee NPI 1588760581
Title
Owner
Phone
(208) 237-1711

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ID

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20161121000205 ID Part B Supplier - Clinic/Group Practice 6709165442 Receives reassigned benefits from 19 practitioners
Practice locations: American Falls, ID; Chubbuck, ID

National Provider Directory

Locations

420 Hillcrest Ave
American Falls, ID 83211
Phone (208) 226-9601

265 E Chubbuck Rd
Chubbuck, ID 83202
Phone (208) 237-1711

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YM0800X Yes
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X

Addresses

Primary practice location

265 East Chubbuck
Chubbuck, ID 83202-5055

Mailing address

265 East Chubbuck
Chubbuck, ID 83202-5055
Phone (208) 237-1711

Other practice location 1

420 Hillcrest Ave
American Falls, ID 83211-1324
Phone (208) 237-1711

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 21, 2020.

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1104374974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 EAST CHUBBUCK",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025055",
            "telephone_number": "208-237-1711",
            "fax_number": "208-237-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 EAST CHUBBUCK",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025055",
            "telephone_number": "208-406-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Hillcrest Ave",
            "address_purpose": "LOCATION",
            "city": "American Falls",
            "state": "ID",
            "postal_code": "832111324",
            "country_code": "US",
            "telephone_number": "208-237-1711",
            "fax_number": "208-237-9806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-237-1711"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

All providers in Chubbuck, ID · Mental Health Counselor in Idaho

Sources for this page

Verify at the official NPI Registry.