Allstar Counseling Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

LSW-24674 Issued in ID

Legal business name

ALLSTAR COUNSELING SERVICES

Doing business as

Allstar Counseling

Practice address

550 2ND St # 292
Idaho Falls, ID 83401-3900

Phone

(208) 200-7377

Fax

(208) 529-4647

NPI assigned

Apr 23, 2007

Last updated

Aug 22, 2020By 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

Mrs. Mandy J. Luis, LSW

Title

Owner

Phone

(208) 200-7377

Specialties & licenses 1

Addresses

Other names 1

• Allstar Counseling Doing business as

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356569495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 2ND ST # 292",
            "address_2": "PO BOX 1876",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013900",
            "telephone_number": "208-200-7377",
            "fax_number": "208-529-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 2ND ST # 292",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013900",
            "telephone_number": "208-200-7377",
            "fax_number": "208-529-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSTAR COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUIS",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-200-7377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "LSW-24674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allstar Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.