James Garner Barnes, SUDA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Idaho Falls, ID
NPI 1467066183 · NPPES record last updated Sep 1, 2020
Key facts
- NPI
- 1467066183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 2275 W Broadway St Ste G
Idaho Falls, ID 83402-2902 - Phone
- (208) 821-7052
- NPI assigned
- Sep 1, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
2275 W Broadway St Ste G
Idaho Falls, ID 83402-2902
Mailing address
2275 W Broadway St Ste G
Idaho Falls, ID 83402-2902
Phone (208) 821-7052
Other providers in Idaho Falls, ID
- Lynnette Tricia Ann Barker
- Marcus Kade Barker
- Douglas Steven Barnard
- Steven Abbott Barnard
- Brittiny Barnes
- James Taylor Barnes
- Kathryn Barnes I
- Kristal Danielle Barnes
- Malinda Barnes
- Rachel Maria Barnes
All providers in Idaho Falls, ID · Addiction (Substance Use Disorder) Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.