Active NPI
Nicole Vadnais, LCPC
- Professional Counselor
- Ammon, ID
National Provider Identifier
1265905772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10045
- Practice address
- 1675 Curlew Dr
Ammon, ID 83406-4718 - Phone
- (208) 523-5319
- NPI assigned
- Jan 8, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10045 | ID | Primary |
Addresses
Primary practice location
1675 Curlew Dr
Ammon, ID 83406-4718
Mailing address
PO Box 2106
Idaho Falls, ID 83403-2106
Phone (208) 523-5319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1675 Curlew Dr
Ammon, ID 83406-4718
Phone (208) 523-5319
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10045 | ID | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4 Pillars of Success LLC | Current | Accepting new patients | |
| 4 Pillars of Success LLC | Current | Accepting new patients | |
| 4 Pillars of Success LLC | Current | Accepting new patients |
Locations
1675 Curlew Dr
Ammon, ID 83406
Phone (208) 523-5319
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Rehabilitative Health Services
- Multi-Specialty Clinic/Center
- Ammon, ID
- NPI 1619134277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1265905772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2106",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834032106",
"telephone_number": "208-523-5319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 CURLEW DR",
"city": "AMMON",
"state": "ID",
"postal_code": "834064718",
"telephone_number": "208-523-5319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADNAIS",
"first_name": "NICOLE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "10045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ammon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.