NPIMap

Organization Active NPI

Center Counseling, LLC

  • Adult Day Care Clinic/Center
  • Chubbuck, ID
National Provider Identifier
1255977914
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CENTER COUNSELING, LLC
Practice address
140 Evans LN
Chubbuck, ID 83202-1914
Phone
(208) 237-3907
Fax
(208) 242-3786
NPI assigned
Nov 18, 2019
Last updated
Dec 30, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER COUNSELING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Deborah Arlene Goss
Title
Credentialing Specialist
Phone
(208) 221-1161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

140 Evans LN
Chubbuck, ID 83202-1914

Mailing address

265 E Chubbuck Rd
Chubbuck, ID 83202-5055
Phone (208) 237-1711

Other names 1

  • Center Counseling, LLC Adult Day Other name

National Provider Directory

National Provider Directory
Tax ID family
Center Counseling LLC5 organizations share this tax ID, including this one
Part of
Center Counseling LLC

Other organizations with this tax ID 4

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

Locations

140 Evans Ln
Chubbuck, ID 83202
Phone (208) 237-3907

265 E Chubbuck Rd
Chubbuck, ID 83202
Phone (208) 237-1711

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1255977914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E CHUBBUCK RD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025055",
            "telephone_number": "208-237-1711",
            "fax_number": "208-237-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 EVANS LN",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832021914",
            "telephone_number": "208-237-3907",
            "fax_number": "208-242-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER COUNSELING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER COUNSELING, LLC",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "208-221-1161"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Counseling, LLC Adult Day",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chubbuck, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.