Aspen Mental Health Services, Inc.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

ASPEN MENTAL HEALTH SERVICES, INC.

Doing business as

Aspen Developmental Services
Aspen Mental Health

Practice address

1820 E 17TH St Ste 330
Idaho Falls, ID 83404-6400

Phone

(208) 534-8303

NPI assigned

May 17, 2024

Last updated

May 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew F Smith

Title

Owner

Phone

(208) 534-8303

Specialties & licenses 1

Addresses

Other names 2

• Aspen Developmental Services Doing business as
• Aspen Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela M Fletcher, LCPC

  • Mental Health Counselor
  • Idaho Falls, ID
  • NPI 1336327857
  Medicare reassignment NPD
• Charlene Hertzberg, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1952054249
  Medicare reassignment NPD
• Kristi L Nelson, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1396171153
  Medicare reassignment NPD

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1134978422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 E 17TH ST # 261",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066758",
            "telephone_number": "208-534-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E 17TH ST STE 330",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046400",
            "telephone_number": "208-534-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN MENTAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-534-8303"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Developmental Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspen Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phillip M Ashton, LCSW
• Aspen Consulting and Management Services, LLC
• Aspen Developmental Services, Inc.
• Aspen Home Health Private Duty LLC (IntegriCare of Eastern Idaho)
• Aspen Managment Services Inc (Advanced Health and Physical Therapy Center)
• Aspen Valley Family Dentistry
• Assisted Living Concepts Inc (Mallory House)
• Associated Counseling
• Associated Westside Optometric Clinic P.a.
• Associates for Family Independence

• Counseling Psychologist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Counseling Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.