Shana Galbraith, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-7508 Issued in ID

Practice address

1970 E 17TH St Ste 208
Idaho Falls, ID 83404-8048

Phone

(208) 932-0668

NPI assigned

Dec 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Recover.He Counseling & Consulting

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1407224744
  NPD

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1295373330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 E 17TH ST STE 208",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048048",
            "telephone_number": "208-932-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 E 17TH ST STE 208",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048048",
            "telephone_number": "208-932-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALBRAITH",
        "first_name": "SHANA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-7508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@addictionrecoveryidaho.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1970 E 17th St Ste 208",
            "city": "Idaho Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834048048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathan James Fullmer, LPC
• Annette Fultz, CADC
• Darren Furman, LCSW, PHD
• Vernon O Gaffner, D.M.D.
• Marianne Graf Galbraith, PA-C
• Melissa Gallant, RN
• Kathy Gammon, RPT,P.A.
• Stanford Benjamin Gammon, P.A.
• Alexsys Garcia
• George M Garcia, MD

• All providers in Idaho Falls, ID
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.