Individual provider Active NPI

Taten Lee Albright, LMSW

  • Mental Health Counselor
  • Idaho Falls, ID
National Provider Identifier
1164059069
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMSW-39331 Issued in ID
Practice address
615 Hoopes Ave
Idaho Falls, ID 83401-6106
Phone
(208) 542-0352
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LMSW-39331 ID Primary

Addresses

Primary practice location

615 Hoopes Ave
Idaho Falls, ID 83401-6106

Mailing address

967 Hoopes Ave Apt 201
Idaho Falls, ID 83404-4705
Phone (208) 313-1842

Other identifiers 1

IdentifierTypeStateIssuer
1518097690MedicaidID

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

State licenses

LicenseStateTypeSpecialty
LMSW-39331IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Counseling Center Inc Single Specialty CurrentSince Mar 29, 2020 Accepting new patients

Locations

615 Hoopes Ave
Idaho Falls, ID 83401
Phone (208) 542-0352

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1164059069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 HOOPES AVE APT 201",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044705",
            "telephone_number": "208-313-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOOPES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016106",
            "telephone_number": "208-542-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRIGHT",
        "first_name": "TATEN",
        "middle_name": "LEE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW-39331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518097690",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "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 Mar 23, 2020; 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.