Organization Active NPI

Recover.He Counseling & Consulting

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
National Provider Identifier
1407224744
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW-34822 Issued in ID
Legal business name
RECOVER.HE COUNSELING & CONSULTING
Practice address
1970 E 17TH St
Suite 203
Idaho Falls, ID 83404
Phone
(808) 881-0518
Fax
(208) 881-0513
NPI assigned
Sep 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Ms. Sheila Kellog
Title
Office Manager
Phone
(208) 881-0518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW-34822 ID Primary

Addresses

Primary practice location

1970 E 17TH St
Suite 203
Idaho Falls, ID 83404

Mailing address

1970 E 17TH St
Suite 203
Idaho Falls, ID 83404
Phone (808) 881-0518

Other names 1

  • Addiction & Trauma Recovery Services Doing business as

National Provider Directory

National Provider Directory

Locations

1970 E 17th St
Ste 203
Idaho Falls, ID 83404
Phone (808) 881-0518

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1407224744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 E 17TH ST",
            "address_2": "SUITE 203",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "808-881-0518",
            "fax_number": "208-881-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 E 17TH ST",
            "address_2": "SUITE 203",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "808-881-0518",
            "fax_number": "208-881-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVER.HE COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "KELLOG",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-881-0518",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW-34822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addiction & Trauma Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.