Cheryl Gaudio, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

35379 Issued in ID

Practice address

615 Hoopes Ave
Idaho Falls, ID 83401-6106

Phone

(208) 542-0352

Fax

(208) 542-0359

NPI assigned

Nov 15, 2017

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

Other identifiers 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teton Counseling Center Inc

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1518097690
  NPD

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1306359047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HOOPES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016106",
            "telephone_number": "208-542-0352",
            "fax_number": "208-542-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOOPES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016106",
            "telephone_number": "208-542-0352",
            "fax_number": "208-542-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDIO",
        "first_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "35379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518097690",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Tius Garriott, MSN, APRN, CNP, FNP
• David Andrew Garrity, MD
• Gary J Lattimore
• McKenzie Gauchay
• Tom Dewey Gauchay
• Kyle Gebs, FNP-C
• Gem Prep: Idaho Falls, LLC
• Gem State Regional Dialysis Center (University of Utah)
• Gene K Hodges MD
• Gene K. Hodges M.D.

• Mental Health Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.