JJST Enterprises Corp.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-2823 Issued in ID

Legal business name

JJST ENTERPRISES CORP.

Doing business as

REXBURG COUNSELING

Practice address

343 E 4TH N
Suite 244
Rexburg, ID 83440-6002

Phone

(208) 356-0088

NPI assigned

Nov 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Scott Kay Andersen, LCPCNPI 1508870676

Title

Owner

Phone

(208) 356-0088

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• REXBURG COUNSELING Doing business as

Tax ID family

JJST Enterprises Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JJST Enterprises Corp

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1275065807
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Kay Andersen, LCPC

  • Mental Health Counselor
  • Rexburg, ID
  • NPI 1508870676
  NPD (past) Authorized official

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1164723334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E 4TH N",
            "address_2": "SUITE 244",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406002",
            "telephone_number": "208-356-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E 4TH N",
            "address_2": "SUITE 244",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406002",
            "telephone_number": "208-356-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJST ENTERPRISES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-356-0088",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-2823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1508870676",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508870676",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REXBURG COUNSELING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rebecca M. Jeppson, FNP-C
• Jershan Enterprises Inc.
• Karen Wilkinson John, LMSW
• Julianna Howell Johnson, LLMSW
• Melanie M Johnson, PHARMD
• Jeff Jones, LCPC
• Rachelle Jones, F.N.P.-C.

• Mental Health Counselor in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.