Riley Murdock Inc

Primary specialty

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

Legal business name

RILEY MURDOCK INC

Doing business as

Dawn Star Counseling

Practice address

1846 1St St # 1011
Idaho Falls, ID 83401-4415

Phone

(208) 254-1882

NPI assigned

Jan 26, 2024

Organization subpart

No

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

Authorized official

Name

Jonathan Riley Murdock, LCSWNPI 1912205295

Title

Owner/Therapist

Phone

(208) 254-1882

Specialties & licenses 4

Addresses

Other names 1

• Dawn Star Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

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

• Jonathan Riley Murdock, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1912205295
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1578325247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 1ST ST # 1011",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014415",
            "telephone_number": "208-254-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 1ST ST # 1011",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014415",
            "telephone_number": "208-254-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEY MURDOCK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "RILEY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "208-254-1882",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dawn Star Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany Richardson Riding, B.S.
• David H. Ridley, MFTI
• Tasha Riedelbach
• Christopher A Rigby, DPT
• Riley J. Hicks D.D.S., P.a.
• Rindfleisch Family Practice PLLC
• Dallas George Rindfleisch, DO
• Karlee Rinehart
• Jason T Rinker
• Stela Risto, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho Falls, ID
• Providers in Idaho Falls, 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 Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.