Itzel Labra

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW38542 Issued in ID

Practice address

1970 E 17TH St Ste 208
Idaho Falls, ID 83404-8048

Phone

(208) 932-0668

Fax

(208) 932-0809

NPI assigned

May 1, 2019

Last updated

May 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

4 Pillars of Success LLCGroup PAC ID 4688027188, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 4 Pillars of Success LLC

  dba Rehabilitative Health Services

  • Multi-Specialty Clinic/Center
  • Ammon, ID
  • NPI 1619134277

  Clinical

  Medicare reassignment Care Compare group NPD
• 4 Pillars of Success LLC

  dba Rehabilitative Health Services

  • Clinic/Center
  • Ammon, ID
  • NPI 1992487615

  Social Worker

  NPD
• Recover.He Counseling & Consulting

  dba Addiction & Trauma Recovery Services

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1407224744
  NPD (past)

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1104481530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 E 17TH ST STE 208",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048048",
            "telephone_number": "208-932-0668",
            "fax_number": "208-932-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 E 17TH ST STE 208",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048048",
            "telephone_number": "208-932-0668",
            "fax_number": "208-932-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRA",
        "first_name": "ITZEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW38542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caryn@addictionrecoveryidaho.com",
            "affiliation": "N",
            "endpointDescription": "Billing Admin",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1970 E 17th St Ste 208",
            "city": "Idaho Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834048048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Douglas Kunz
• Katie Kunz
• Laura Lynn Kunz, COTA/L
• Sally Kupchock, NP
• Kylin Kovac DPM PLLC (Idaho Foot and Ankle Center)
• Yeimi Labra, FNP-C
• Darrick Taylor Lacey
• Elizabeth Rae Lagazo
• Amanda Lagerstrom, MOT OTR/L
• Abish Shu-Yi Lai, CCC-SLP

• Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.