Organization Active NPI

Modern Resilience PLLC

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
National Provider Identifier
1225923915
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MODERN RESILIENCE PLLC
Practice address
482 Constitution Way Ste B1
Idaho Falls, ID 83402-3543
Phone
(208) 557-8180
Fax
(855) 582-8818
NPI assigned
Jun 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Heather Croft, LCSWNPI 1699345579
Title
Owner
Phone
(208) 557-8180

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

482 Constitution Way Ste B1
Idaho Falls, ID 83402-3543

Mailing address

429 6TH St
Idaho Falls, ID 83401-4708
Phone (208) 557-8180

Other names 1

  • Modern Resilience Doing business as

National Provider Directory

National Provider Directory

Locations

482 Constitution Way
Ste B1
Idaho Falls, ID 83402
Phone (208) 557-8180

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": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1225923915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 6TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014708",
            "telephone_number": "208-557-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 CONSTITUTION WAY STE B1",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023543",
            "telephone_number": "208-557-8180",
            "fax_number": "855-582-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN RESILIENCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "CROFT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-557-8180",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Resilience",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.