NPIMap

Organization Active NPI

Snake River Rehabilitation Counseling Services,LLC

  • Developmentally Disabled Services Day Training Agency
  • Lewiston, ID
National Provider Identifier
1194926790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SNAKE RIVER REHABILITATION COUNSELING SERVICES,LLC
Practice address
1630 23Rd Ave
# 301B
Lewiston, ID 83501-6350
Phone
(208) 743-5101
Fax
(208) 746-5282
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michelle Fitting
Title
Owner
Phone
(208) 743-5101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1630 23Rd Ave
# 301B
Lewiston, ID 83501-6350

Mailing address

1630 23Rd Ave
# 301B
Lewiston, ID 83501-6350
Phone (208) 743-5101

National Provider Directory

National Provider Directory
Tax ID family
Snake River Rehabilitation Counseling Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1630 23rd Ave
Ste 301B
Lewiston, ID 83501
Phone (208) 743-5101

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194926790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 23RD AVE",
            "address_2": "# 301B",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016350",
            "telephone_number": "208-743-5101",
            "fax_number": "208-746-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 23RD AVE",
            "address_2": "# 301B",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016350",
            "telephone_number": "208-743-5101",
            "fax_number": "208-746-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAKE RIVER REHABILITATION COUNSELING SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITTING",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-743-5101"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.