NPIMap

Organization Active NPI

Jolliff Counseling & Behavioral Health

  • Community/Behavioral Health Agency
  • Twin Falls, ID
National Provider Identifier
1255790069
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JOLLIFF COUNSELING & BEHAVIORAL HEALTH
Practice address
837 Pole Line Rd
Ste 1050
Twin Falls, ID 83301-3095
Phone
(208) 736-0995
Fax
(208) 736-0999
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Crystal Brassfield
Title
Admin Assistant
Phone
(208) 736-0995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

837 Pole Line Rd
Ste 1050
Twin Falls, ID 83301-3095

Mailing address

837 Pole Line Rd
Ste 1050
Twin Falls, ID 83301-3095
Phone (208) 736-0995

Other identifiers 1

IdentifierTypeStateIssuer
806856500MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Jolliff Counseling Behavioral Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1255790069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 POLE LINE RD",
            "address_2": "STE 1050",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013095",
            "telephone_number": "208-736-0995",
            "fax_number": "208-736-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 POLE LINE RD",
            "address_2": "STE 1050",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013095",
            "telephone_number": "208-736-0995",
            "fax_number": "208-736-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLIFF COUNSELING & BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "BRASSFIELD",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "208-736-0995"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806856500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.