Organization Active NPI

Reliance Mental Health PC

  • Mental Health Counselor
  • Idaho Falls, ID
National Provider Identifier
1467679597
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RELIANCE MENTAL HEALTH PC
Practice address
447 Park Ave
Idaho Falls, ID 83402-3608
Phone
(208) 525-8339
Fax
(208) 535-8339
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Parris L Allen
Title
Office Manager
Phone
(208) 525-8339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

447 Park Ave
Idaho Falls, ID 83402-3608

Mailing address

447 Park Ave
Idaho Falls, ID 83402-3608
Phone (208) 525-8339

National Provider Directory

National Provider Directory
Tax ID family
Reliance Mental Health PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467679597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 PARK AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023608",
            "telephone_number": "208-525-8339",
            "fax_number": "208-535-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 PARK AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023608",
            "telephone_number": "208-525-8339",
            "fax_number": "208-535-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE MENTAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "PARRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-525-8339",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.

Verify at the official NPI Registry.