Individual provider Active NPI

Adam David Rowbury, BS CADC

  • Addiction (Substance Use Disorder) Counselor
  • Idaho Falls, ID
National Provider Identifier
1134767791
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1020 Land Bank St
Idaho Falls, ID 83402-1809
Phone
(208) 522-6155
Fax
(208) 522-6156
NPI assigned
Dec 13, 2019
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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 NU Primary

Addresses

Primary practice location

1020 Land Bank St
Idaho Falls, ID 83402-1809

Mailing address

1020 Land Bank St
Idaho Falls, ID 83402-1809
Phone (208) 522-6155

Other identifiers 1

IdentifierTypeStateIssuer
673OtherIDIDAHO BOARD OF ALCOHOL/DRUG COUNSELOR CERTIFICATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adam@brickhouserecovery.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Brick House Recovery Addiction (Substance Use Disorder) CurrentSince Dec 15, 2019 Accepting new patients
Brick House Recovery Addiction (Substance Use Disorder) CurrentSince Dec 15, 2019 Accepting new patients

Locations

1020 Land Bank St
Idaho Falls, ID 83402
Phone (208) 522-6155

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": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1134767791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAND BANK ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021809",
            "telephone_number": "208-522-6155",
            "fax_number": "208-522-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LAND BANK ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021809",
            "telephone_number": "208-522-6155",
            "fax_number": "208-522-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWBURY",
        "first_name": "ADAM",
        "middle_name": "DAVID",
        "credential": "BS CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BOARD OF ALCOHOL/DRUG COUNSELOR CERTIFICATION",
            "identifier": "673",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam@brickhouserecovery.com",
            "affiliation": "N",
            "address_1": "1020 Land Bank St",
            "city": "Idaho Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834021809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.