Active NPI
Recovery Rocks LLC
- Mental Health Counselor
- Jerome, ID
National Provider Identifier
1164137105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RECOVERY ROCKS LLC
- Practice address
- 414 N Lincoln Ave Ste 2
Jerome, ID 83338-2300 - Phone
- (208) 536-0536
- Fax
- (208) 324-5597
- NPI assigned
- Jan 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerlyn Danette Walker, LPC
- Title
- Owner
- Phone
- (208) 539-0838
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
414 N Lincoln Ave Ste 2
Jerome, ID 83338-2300
Mailing address
414 N Lincoln Ave Ste 2
Jerome, ID 83338-2300
Phone (208) 324-5431
Other names 1
- Recovery Rocks LLC
National Provider Directory
National Provider DirectoryLocations
414 N Lincoln Ave
Ste 2
Jerome, ID 83338
Phone (208) 536-0536
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Jerome, ID
- NPI 1487255881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683590400000",
"number": "1164137105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 N LINCOLN AVE STE 2",
"city": "JEROME",
"state": "ID",
"postal_code": "833382300",
"telephone_number": "208-324-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N LINCOLN AVE STE 2",
"city": "JEROME",
"state": "ID",
"postal_code": "833382300",
"telephone_number": "208-536-0536",
"fax_number": "208-324-5597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY ROCKS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-13",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "GERLYN",
"authorized_official_middle_name": "DANETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-539-0838",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Recovery Rocks LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Recovery Rocks LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Jerome, ID
- Stacey Michele Pound, M.S., CCC-SLP
- Gary Radford, PHARMD
- Jason Reading, PHARM-D
- Readings Community Pharmacy Inc
- Readings Community Pharmacy Inc (R and R Pharmacy)
- Red Rock Pharmacy Incorporated (R & R Pharmacy)
- Red Rock Pharmacy Incorporated (R & R Pharmacy)
- Relentless Recovery & Wellness, LLC
- Ridley's Family Markets, Inc (Ridley's Pharmacy #8443)
- River of Hope Behavioral Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.