NPIMap

Organization Active NPI

Padron Counseling Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Idaho Falls, ID
National Provider Identifier
1649606575
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PADRON COUNSELING SERVICES, LLC
Practice address
543 3Rd St
Idaho Falls, ID 83401-3909
Phone
(208) 522-6925
Fax
(208) 522-6934
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Mr. Jorge Padron, CADCNPI 1023444957
Title
Ceo
Phone
(208) 589-4139

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
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X ID Primary

Addresses

Primary practice location

543 3Rd St
Idaho Falls, ID 83401-3909

Mailing address

543 3Rd St
Idaho Falls, ID 83401-3909
Phone (208) 522-6925

National Provider Directory

National Provider Directory

Locations

543 3rd St
Idaho Falls, ID 83401
Phone (208) 522-6925

Practitioners & affiliated clinicians

Practitioners 5

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": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1649606575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 3RD ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013909",
            "telephone_number": "208-522-6925",
            "fax_number": "208-522-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 3RD ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013909",
            "telephone_number": "208-522-6925",
            "fax_number": "208-522-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADRON COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "PADRON",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-589-4139",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.