Pearl Healthcare Centers, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PEARL HEALTHCARE CENTERS, INC

Practice address

11760 S Country Club Dr
Idaho Falls, ID 83404-7848

Phone

(208) 236-1600

NPI assigned

Apr 28, 2008

Last updated

Apr 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thana Singarajah, LCPC

Title

President/Owner

Phone

(208) 236-1600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1316112618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4908",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054908",
            "telephone_number": "208-236-1600",
            "fax_number": "208-236-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 S COUNTRY CLUB DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047848",
            "telephone_number": "208-236-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL HEALTHCARE CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "SINGARAJAH",
        "authorized_official_first_name": "THANA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "208-236-1600",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyee Payne, PHARMD
• Terrell Payne, MOTR/L
• Peak Medical of Idaho, Inc. (Idaho Falls Care and Rehabilitation Center)
• Pearl Group Homes
• Pearl Group Homes
• Bradley Dale Pearson, MPT
• Colby Pearson, DO
• William Edwin Pearson, DDS
• Dottie Peck, REEGT, CNIM
• Pediatric Development Clinic (PDC)

• 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 Apr 28, 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.