Shane Richins, CPRC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1020 Land Bank St
Idaho Falls, ID 83402-1809

Phone

(208) 522-6155

Fax

(208) 286-4292

NPI assigned

Oct 14, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Brick House Recovery

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1710538863
  NPD
• Brick House Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Idaho Falls, ID
  • NPI 1962050989
  NPD

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1275409559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAND BANK ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021809",
            "telephone_number": "208-522-6155",
            "fax_number": "208-286-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LAND BANK ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021809",
            "telephone_number": "208-522-6155",
            "fax_number": "208-286-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHINS",
        "first_name": "SHANE",
        "credential": "CPRC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Richardson, L.M.T.
• Misty Richardson, MS, CCC-SLP
• Weldon T Richardson III, PA-C
• James Richey, DMD
• Michael Scott Richins, D.O.
• Jennifer Richman, OTR/L
• Daniel B Rick, PA
• Jared William Rickabaugh, APRN, FNP-C
• Merjurie Fair Ricklefs, ARNP, PMHNP-BC
• Deron J Ricks, PA

• Peer Specialist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Peer Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.