Neider Counseling PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NEIDER COUNSELING PA

Practice address

1522 Elk Creek Dr
Idaho Falls, ID 83404-8322

Phone

(208) 552-0920

Fax

(208) 529-2564

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Donevan Neider, LCSW

Title

Owner

Phone

(208) 552-0920

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1508056318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "208-552-0920",
            "fax_number": "208-529-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "208-552-0920",
            "fax_number": "208-529-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIDER COUNSELING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "NEIDER",
        "authorized_official_first_name": "DONEVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-552-0920",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Logan Nebeker
• Kierstin Nebeker, DNP
• James P Neeley, MD
• David Neff, LSW
• Shanna Neff, MSN, PMHNP-BC
• Donevan B Neider, LCSW
• Nelson Chiropractic PA
• Adam Nelson, LMT
• Allen Loyd Nelson
• Amanda Nelson, LMSW

• 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 Jun 22, 2009; 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.