Active NPI
Upper Valley Resource and Counseling Center
- Mental Health Counselor
- Rexburg, ID
National Provider Identifier
1396730735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- UPPER VALLEY RESOURCE AND COUNSELING CENTER
- Practice address
- 36 N 2ND W
Rexburg, ID 83440-1515 - Phone
- (208) 359-0519
- Fax
- (208) 359-2493
- NPI assigned
- Sep 12, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rebecca Hymas
- Title
- Administrator
- Phone
- (208) 359-0519
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
36 N 2ND W
Rexburg, ID 83440-1515
Mailing address
36 N 2ND W
Rexburg, ID 83440-1515
Phone (208) 359-0519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00280900 | Medicaid | ID |
National Provider Directory
National Provider Directory- Tax ID family
- Upper Valley Resource and Counseling Center
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Sugar City, ID
- NPI 1487093845
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Sugar City, ID
- NPI 1588003909
-
- Social Worker
- Rexburg, ID
- NPI 1417095514
-
dba Upper Valley Children's Center
- Community/Behavioral Health Agency
- Rexburg, ID
- NPI 1861544587
Locations
36 N 2nd W
Rexburg, ID 83440
Phone (208) 313-7569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396730735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 N 2ND W",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401515",
"telephone_number": "208-359-0519",
"fax_number": "208-359-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 N 2ND W",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401515",
"telephone_number": "208-359-0519",
"fax_number": "208-359-2493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPPER VALLEY RESOURCE AND COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HYMAS",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "208-359-0519",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00280900",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
- Upper Valley ENT & Allergy PLLC
- Upper Valley Family Practice, PLLC
- Upper Valley Options, Inc.
- Upper Valley Orthopedics, PLLC
- Upper Valley Pediatrics
- Upper Valley Resource and Counseling Center
- Upper Valley Resource and Counseling Center (Upper Valley Children's Center)
- Upper Valley Surgery Center
- Valley Help at Home Senior Care LLC (1 Assist Care)
- Valley Help at Home Senior Care LLC
Sources for this page
- 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.