Organization Active NPI

Recovery Rocks LLC

  • Mental Health Counselor
  • Jerome, ID
National Provider Identifier
1164137105
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on May 9, 2023

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

Authorized official

Name
Gerlyn Danette Walker, LPCNPI 1487255881
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.