Aspen Grove Family Therapy, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ASPEN GROVE FAMILY THERAPY, INC

Practice address

762 Falls Ave
Twin Falls, ID 83301-3316

Phone

(208) 258-7681

NPI assigned

Apr 7, 2019

Last updated

Apr 24, 2025By 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

Michael Robert Whitehead, PHD, LMFTNPI 1144588708

Title

Owner

Phone

(509) 392-1874

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Robert Whitehead, PH.D., LMFT

  • Marriage & Family Therapist
  • Twin Falls, ID
  • NPI 1144588708
  NPD Authorized official
• Matthew Mayock

  • Marriage & Family Therapist
  • Twin Falls, ID
  • NPI 1790535482
  NPD (past)
• Kami Roach, LCPC

  • Counselor
  • Twin Falls, ID
  • NPI 1962029298
  NPD (past)
• Amy Allison Walker, LCSW

  • Clinical Social Worker
  • Twin Falls, ID
  • NPI 1023349347
  NPD (past)

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1366905416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013316",
            "telephone_number": "208-258-7681",
            "fax_number": "208-907-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013316",
            "telephone_number": "208-258-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN GROVE FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-07",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-392-1874",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas C Ashby, M.D.
• Samantha Lea Ashenbrener, DPT
• Ashley Manor, LLC
• Ashley Manor, LLC
• Lindsay Ashmead, LPC
• Aspenwood Rehabilitation (Aspenwood)
• Asthma & Allergy of Idaho
• Asthma & Allergy of Idaho PLLC
• Marc T Astin, MD
• Atlas Potential PLLC

• Marriage & Family Therapist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Marriage & Family Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.