Above and Beyond Counseling & PSR, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ABOVE AND BEYOND COUNSELING & PSR, LLC

Practice address

545 Shoup Ave
Suite #321
Idaho Falls, ID 83402-3575

Phone

(208) 521-7225

Fax

(208) 524-9019

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Shawn Darrel Beebe, B.S., PRS

Title

Owner, Director

Phone

(208) 521-7225

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1265644272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SHOUP AVE",
            "address_2": "SUITE #321",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023575",
            "telephone_number": "208-521-7225",
            "fax_number": "208-524-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SHOUP AVE",
            "address_2": "SUITE #321",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023575",
            "telephone_number": "208-521-7225",
            "fax_number": "208-524-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE AND BEYOND COUNSELING & PSR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "BEEBE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DARREL",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "208-521-7225",
        "authorized_official_credential": "B.S., PRS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807357300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.