Cibrian Counseling & Wellness Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

36347 Issued in ID

Legal business name

CIBRIAN COUNSELING & WELLNESS CENTER, LLC

Practice address

550 2ND St
Suite 290
Idaho Falls, ID 83401-3900

Phone

(208) 970-7901

NPI assigned

Mar 21, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Louie Cibrian, LCSW

Title

Owner

Phone

(208) 970-7901

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1437680535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 RYANNE WAY",
            "city": "IONA",
            "state": "ID",
            "postal_code": "834275105",
            "telephone_number": "208-970-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 2ND ST",
            "address_2": "SUITE 290",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013900",
            "telephone_number": "208-970-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIBRIAN COUNSELING & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "CIBRIAN",
        "authorized_official_first_name": "LOUIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-970-7901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "36347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Jacob Christiansen, BS
• Tiffany Christiansen, PA
• Lesli D. Christofferson, MSN, FNP-BC
• George Chudleigh, PT
• Allison Michelle Chuirazzi, OTR/L
• Rocco P Cifrese, MD
• Cindy Goff, PLLC
• City of Idaho Falls
• Sarah Elizabeth Clancy, DO
• Camillia Clark, COUI-9541

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, 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 May 11, 2017; 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.