NPIMap

Organization Active NPI

Aaa American Healthcare LLC

  • Mental Health Counselor
  • Idaho Falls, ID
National Provider Identifier
1285979757
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AAA AMERICAN HEALTHCARE LLC
Practice address
1301 E 17TH St
Idaho Falls, ID 83404-6273
Phone
(208) 538-3122
NPI assigned
Dec 10, 2012
Last updated
Oct 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Ryan Hatch
Title
Owner
Phone
(208) 538-3122

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU
Physician Assistant 363A00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Primary Care Nurse Practitioner 363LP2300X NU
Mental Health Counselor 101YM0800X NU Primary
Psychologist 103T00000X NU
Chiropractor 111N00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
General Practice Physician 208D00000X NU
Physical Therapist 225100000X NU
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1301 E 17TH St
Idaho Falls, ID 83404-6273

Mailing address

665 John Adams Pkwy
Idaho Falls, ID 83401-4072
Phone (208) 419-0144

Other practice location 1

1327 E 17th St
Idaho Falls, ID 83404-6235
Phone (208) 538-3122

Other practice location 2

1995 E 17th St
Idaho Falls, ID 83404-6493
Phone (208) 538-1999

Other practice location 3

30 Madison Professional Park
Rexburg, ID 83440-2058
Phone (208) 538-1999

Other practice location 4

396 Yellowstone Ave
Pocatello, ID 83201-4572
Phone (208) 254-7733

Other practice location 5

665 John Adams Pkwy
Idaho Falls, ID 83401-4072
Phone (208) 419-0144

Other practice location 6

3360 S 15th E
Idaho Falls, ID 83404-8321
Phone (208) 522-8300

Other practice location 7

400 Yellowstone Ave
Pocatello, ID 83201-4532
Phone (208) 254-7733

Other practice location 8

130 W Main St
Rexburg, ID 83440-1827
Phone (208) 356-4459

National Provider Directory

National Provider Directory

Locations

1327 E 17th St
Idaho Falls, ID 83404
Phone (208) 419-0144

130 W Main St
Rexburg, ID 83440
Phone (208) 356-8818

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1285979757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 JOHN ADAMS PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014072",
            "telephone_number": "208-419-0144",
            "fax_number": "208-789-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046273",
            "telephone_number": "208-538-3122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 E 17th St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834046235",
            "country_code": "US",
            "telephone_number": "208-538-3122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 E 17th St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834046493",
            "country_code": "US",
            "telephone_number": "208-538-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Madison Professional Park",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834402058",
            "country_code": "US",
            "telephone_number": "208-538-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "396 Yellowstone Ave",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832014572",
            "country_code": "US",
            "telephone_number": "208-254-7733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "665 John Adams Pkwy",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834014072",
            "country_code": "US",
            "telephone_number": "208-419-0144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3360 S 15th E",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834048321",
            "country_code": "US",
            "telephone_number": "208-522-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Yellowstone Ave",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832014532",
            "country_code": "US",
            "telephone_number": "208-254-7733",
            "fax_number": "208-240-6143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Main St",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834401827",
            "country_code": "US",
            "telephone_number": "208-356-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AAA AMERICAN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-538-3122"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 26, 2020; 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.