Individual provider Active NPI

Ashley Bringhurst, LCPC

  • Addiction (Substance Use Disorder) Counselor
  • Chubbuck, ID
National Provider Identifier
1124468483
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCPC-4279 Issued in ID
Practice address
4856 Brookstone St
Chubbuck, ID 83202-5198
Phone
(208) 709-0033
NPI assigned
Jul 2, 2013
Last updated
Jul 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCPC-4279 ID Primary

Addresses

Primary practice location

4856 Brookstone St
Chubbuck, ID 83202-5198

Mailing address

4856 Brookstone St
Chubbuck, ID 83202-5198
Phone (208) 709-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-4279IDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients
High Country Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1248 E 17th St
Idaho Falls, ID 83404
Phone (208) 542-1026

420 S 4th Ave
Pocatello, ID 83201
Phone (208) 478-9081

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1124468483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4856 BROOKSTONE ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025198",
            "telephone_number": "208-709-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4856 BROOKSTONE ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025198",
            "telephone_number": "208-709-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINGHURST",
        "first_name": "ASHLEY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "LCPC-4279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

Verify at the official NPI Registry.