NPIMap

Organization Active NPI

Associated Counseling

  • Clinic/Center
  • Idaho Falls, ID
National Provider Identifier
1295825115
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
105LCPC Issued in ID
Legal business name
ASSOCIATED COUNSELING
Practice address
2539 Channing Way
Suite #240
Idaho Falls, ID 83404-7544
Phone
(208) 523-5991
Fax
(208) 523-5991
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Joanne Carnes, PSYD MA LCPC
Title
Owner
Phone
(208) 523-5991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 105LCPC ID Primary

Addresses

Primary practice location

2539 Channing Way
Suite #240
Idaho Falls, ID 83404-7544

Mailing address

2539 Channing Way
Suite #240
Idaho Falls, ID 83404
Phone (208) 523-5991

Other identifiers 1

IdentifierTypeStateIssuer
805715800MedicaidID

National Provider Directory

National Provider Directory

Locations

2539 Channing Way
Ste 240
Idaho Falls, ID 83404
Phone (208) 523-5991

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1295825115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 CHANNING WAY",
            "address_2": "SUITE #240",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-523-5991",
            "fax_number": "208-523-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 CHANNING WAY",
            "address_2": "SUITE #240",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047544",
            "telephone_number": "208-523-5991",
            "fax_number": "208-523-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "CARNES",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-523-5991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD MA LCPC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ID",
            "license": "105LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805715800",
            "state": "ID"
        }
    ],
    "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 Jun 30, 2008; 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.