Active NPI
Modern Resilience PLLC
- Community/Behavioral Health Agency
- Idaho Falls, ID
National Provider Identifier
1225923915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Croft, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.