Untangled Counseling, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

UNTANGLED COUNSELING, PLLC

Practice address

94 N Pine St
Blackfoot, ID 83221-2052

Phone

(208) 352-6640

Fax

(208) 417-0975

NPI assigned

Mar 1, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Michele Osmond, LCPCNPI 1053773952

Title

Owner

Phone

(208) 705-5424

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michele Joann Osmond, LCPC

  • Professional Counselor
  • Pocatello, ID
  • NPI 1053773952
  NPD Authorized official

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1528525193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 N PINE ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212052",
            "telephone_number": "208-352-6640",
            "fax_number": "208-417-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 N PINE ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212052",
            "telephone_number": "208-352-6640",
            "fax_number": "208-417-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNTANGLED COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "OSMOND",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-705-5424",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Trafford, LPC
• Peggy J Trebilcock, DDS
• Gary Michael Ullery, D.O.
• United Family Services, LLC
• University of Utah Pediatric Services
• Valley Medical Shoppe Inc
• Jessica Annelaine Vandyke, DPT
• Camille Vanorden
• Austin Wadsworth
• Wal-Mart Stores, Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.