Elk River Counseling, LLC.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELK RIVER COUNSELING, LLC.

Practice address

1865 N Lakes PL
Meridian, ID 83646-1921

Phone

(208) 615-9594

NPI assigned

Dec 3, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Joshua James Elledge, LPC, NCCNPI 1215697727

Title

Clinician

Phone

(208) 615-9594

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.

• Joshua Elledge, MA, LPC, NCC

  • Mental Health Counselor
  • Meridian, ID
  • NPI 1215697727
  NPD Authorized official

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1629894894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 N LAKES PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461921",
            "telephone_number": "208-615-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 N LAKES PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461921",
            "telephone_number": "208-615-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK RIVER COUNSELING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "ELLEDGE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "208-615-9594",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Lynn Ellis
• Easton Grant Ellis, DDS

• Mental Health Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.