Organization Active NPI

Rocky Mountain Behavioral Health Center

  • Clinical Social Worker
  • Pocatello, ID
National Provider Identifier
1215302187
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW34676 Issued in ID
Legal business name
ROCKY MOUNTAIN BEHAVIORAL HEALTH CENTER
Practice address
120 N 12TH Ave
Ste. 1
Pocatello, ID 83201-4767
Phone
(208) 233-4660
Fax
(208) 233-4262
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Becky Pierce, CCC-SLPNPI 1447309224
Title
Owner
Phone
(208) 233-4660

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LCSW34676 ID Primary

Addresses

Primary practice location

120 N 12TH Ave
Ste. 1
Pocatello, ID 83201-4767

Mailing address

1110 Call Creek Dr
Suite 7
Pocatello, ID 83201-3001
Phone (208) 233-4660

National Provider Directory

National Provider Directory

Locations

1110 Call Creek Dr
Ste 7
Pocatello, ID 83201
Phone (208) 233-4660

120 N 12th Ave
Ste 1
Pocatello, ID 83201
Phone (208) 233-4660

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": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1215302187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 CALL CREEK DR",
            "address_2": "SUITE 7",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013001",
            "telephone_number": "208-233-4660",
            "fax_number": "208-233-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 12TH AVE",
            "address_2": "STE. 1",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014767",
            "telephone_number": "208-233-4660",
            "fax_number": "208-233-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-233-4660",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW34676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.