Organization Active NPI

Rural Educational Services LLC

  • Community/Behavioral Health Agency
  • Boise, ID
National Provider Identifier
1609631084
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RURAL EDUCATIONAL SERVICES LLC
Practice address
4090 W State St Ste 106
Boise, ID 83703-4450
Phone
(208) 297-8227
NPI assigned
Feb 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Rebecca Marie Carroll, M.ED., LPCNPI 1316644081
Title
Owner/Mental Health Counselor
Phone
(208) 297-8227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4090 W State St Ste 106
Boise, ID 83703-4450

Mailing address

4090 W State St Ste 106
Boise, ID 83703-4450
Phone (208) 297-8227

Other names 1

  • Reset Life Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250403003421 ID Part B Supplier - Clinic/Group Practice 2264973239 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

4090 W State St
Ste 106
Boise, ID 83703
Phone (208) 297-8227

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1609631084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 W STATE ST STE 106",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837034450",
            "telephone_number": "208-297-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 W STATE ST STE 106",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837034450",
            "telephone_number": "208-297-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL EDUCATIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "208-297-8227",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reset Life Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.