Individual provider Active NPI

Uriel Alejandro Carranza, LMSW

  • Mental Health Counselor
  • Idaho Falls, ID
National Provider Identifier
1285443267
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMSW-40535 Issued in ID
Practice address
560 3Rd St
Idaho Falls, ID 83401-3953
Phone
(208) 529-0169
Fax
(208) 542-5152
NPI assigned
Jan 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMSW-40535 ID Primary

Addresses

Primary practice location

560 3Rd St
Idaho Falls, ID 83401-3953

Mailing address

535 Auburn Ave
Idaho Falls, ID 83401-3703
Phone (208) 716-6441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-40535IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Human Service Coordination LLC Mental Health CurrentSince Mar 24, 2025 Accepting new patients

Locations

560 3rd St
Idaho Falls, ID 83401
Phone (208) 529-0169

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1285443267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 AUBURN AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013703",
            "telephone_number": "208-716-6441",
            "fax_number": "208-542-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 3RD ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013953",
            "telephone_number": "208-529-0169",
            "fax_number": "208-542-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRANZA",
        "first_name": "URIEL",
        "middle_name": "ALEJANDRO",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW-40535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.