JJST Enterprises Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCPC 2823 Issued in ID

Legal business name

JJST ENTERPRISES CORP

Doing business as

R & R Counseling

Practice address

1920 E 17TH St Ste 213
Idaho Falls, ID 83404-8036

Phone

(208) 356-0088

NPI assigned

Apr 2, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Scott Kay Andersen, MCOUN LCPC

Title

Owner

Phone

(208) 356-0088

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• R & R Counseling Doing business as

Tax ID family

JJST Enterprises Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• JJST Enterprises Corp.

  • Mental Health Counselor
  • Rexburg, ID
  • NPI 1164723334
  NPD tax ID

Locations

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491091200000",
    "number": "1275065807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 S YELLOWSTONE HWY STE 301",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E 17TH ST STE 213",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048036",
            "telephone_number": "208-356-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJST ENTERPRISES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-02",
        "last_updated": "2017-04-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-356-0088",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MCOUN LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCPC 2823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164723334",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R & R Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Jex, CRNA
• Kelly Jianas, LMFT
• Kyle Jiganti, DO
• Reilly Jimenez, PA
• Briana Irene Jinsky
• Connor Jobe
• Kaylnn Johansen
• John G Foster Crna PC
• Jared Thomas John, PSY
• Timmie Lyn John, LMSW

• Community/Behavioral Health Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2017; 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.