Upper Valley Resource & Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

UPPER VALLEY RESOURCE & COUNSELING LLC

Practice address

1223 S Railroad Ave
Sugar City, ID 83448-5072

Phone

(208) 359-2493

NPI assigned

Dec 8, 2016

Last updated

Jan 3, 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

Darrin Robertson, NP

Title

Owner

Phone

(208) 233-2025

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Brittaini Milner, LCSW

  • Clinical Social Worker
  • Rexburg, ID
  • NPI 1699331058
  NPD (past)

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1366986408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4789",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054789",
            "telephone_number": "208-233-2025",
            "fax_number": "208-269-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S RAILROAD AVE",
            "city": "SUGAR CITY",
            "state": "ID",
            "postal_code": "834485072",
            "telephone_number": "208-359-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY RESOURCE & COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-233-2025",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stone Ridge Sugar City Dba Stone Ridge Dental
• Sugar Salem School District
• Micah Thatcher
• Upper Valley Resource & Counseling Center
• Upper Valley Resource & Counseling Center
• Upper Valley Resource and Counseling Center

• Clinical Social Worker in Sugar City, ID
• Providers in Sugar City, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.