Active NPI
Aaron Elias St.George, B.S., CADC
- Addiction (Substance Use Disorder) Counselor
- Caldwell, ID
National Provider Identifier
1255813044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11542
- Practice address
- 524 Cleveland Blvd Ste 230
Caldwell, ID 83605-4080 - Phone
- (208) 800-0588
- Fax
- (208) 800-0599
- NPI assigned
- Aug 29, 2018
- Last updated
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11542 | ID | Primary |
Addresses
Primary practice location
524 Cleveland Blvd Ste 230
Caldwell, ID 83605-4080
Mailing address
524 Cleveland Blvd Ste 230
Caldwell, ID 83605-4080
Phone (208) 800-0588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11542 | Other | ID | IBADCC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11542 | ID | MD | Addiction (Substance Use Disorder) Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Caldwell, ID
- NPI 1497397723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1255813044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 CLEVELAND BLVD STE 230",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054080",
"telephone_number": "208-800-0588",
"fax_number": "208-800-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 CLEVELAND BLVD STE 230",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054080",
"telephone_number": "208-800-0588",
"fax_number": "208-800-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST.GEORGE",
"first_name": "AARON",
"middle_name": "ELIAS",
"credential": "B.S., CADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-29",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ID",
"license": "11542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBADCC",
"identifier": "11542",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
- Southwest District Health
- St Lukes Idaho Cardiology Associates
- St Lukes Regional Medical Center (St Lukes Saltzer DME Caldwell)
- St Lukes Regional Medical Center (St Lukes Clinic - Caldwell Urology)
- St Lukes Regional Medical Center (St Lukes Caldwell Urology)
- William Tyler Steers, FNP
- Carl William Steinmann, PA
- Jackson P Sterling, DO
- Wyndi M Stevens-Hill, LPN
- Todd Stevens, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.