NPIMap

Organization Active NPI

Idaho State University

Doing business as ISU Meridian Counseling Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meridian, ID
National Provider Identifier
1235737347
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
IDAHO STATE UNIVERSITY
Doing business as
ISU Meridian Counseling Clinic
Practice address
1311 E Central Dr
Meridian, ID 83642-7991
Phone
(208) 373-1719
NPI assigned
Oct 12, 2020
Last updated
Oct 12, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
IDAHO STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Cynthia Lee Rock
Title
Clinics Director of Operations
Phone
(208) 373-1743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1311 E Central Dr
Meridian, ID 83642-7991

Mailing address

1311 E Central Dr
Meridian, ID 83642-7991
Phone (208) 373-1719

Other names 1

  • ISU Meridian Counseling Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rockcind@health.isu.edu Direct

National Provider Directory

National Provider Directory
Tax ID family
Isu Speech Hearing CT22 organizations share this tax ID, including this one
Part of
Isu Speech Hearing CT

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1235737347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 E CENTRAL DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427991",
            "telephone_number": "208-373-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E CENTRAL DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427991",
            "telephone_number": "208-373-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IDAHO STATE UNIVERSITY",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICS DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "208-373-1743"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rockcind@health.isu.edu",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1311 E Central Dr",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836427991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ISU Meridian Counseling Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.