Organization Active NPI

Jolliff Counseling & Behavioral Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Twin Falls, ID
National Provider Identifier
1306885744
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JOLLIFF COUNSELING & BEHAVIORAL HEALTH, INC
Practice address
834 Falls Ave
Ste 1050
Twin Falls, ID 83301-3365
Phone
(208) 736-0995
Fax
(208) 736-0999
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Jennifer Ashley
Title
Owner
Phone
(208) 736-0995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

834 Falls Ave
Ste 1050
Twin Falls, ID 83301-3365

Mailing address

834 Falls Ave
Ste 1050
Twin Falls, ID 83301-3365
Phone (208) 736-0995

Other identifiers 2

IdentifierTypeStateIssuer
806856500MedicaidID
806959500MedicaidID

National Provider Directory

National Provider Directory

Locations

834 Falls Ave
Ste 1050
Twin Falls, ID 83301
Phone (208) 734-7077

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1306885744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 FALLS AVE",
            "address_2": "STE 1050",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013365",
            "telephone_number": "208-736-0995",
            "fax_number": "208-736-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 FALLS AVE",
            "address_2": "STE 1050",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013365",
            "telephone_number": "208-736-0995",
            "fax_number": "208-736-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLIFF COUNSELING & BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-736-0995"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806856500",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806959500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.