Organization Active NPI

Safe Harbor Counseling

  • Counselor
  • Idaho Falls, ID
National Provider Identifier
1679201982
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SAFE HARBOR COUNSELING
Practice address
560 W Sunnyside Rd Ste D
Idaho Falls, ID 83402-4641
Phone
(208) 274-4720
NPI assigned
Aug 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Julie Carlson, LCSWNPI 1841882594
Title
Therapist
Phone
(801) 510-7230

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

560 W Sunnyside Rd Ste D
Idaho Falls, ID 83402-4641

Mailing address

1438 N 615 E
Shelley, ID 83274-5077
Phone (801) 510-7230

National Provider Directory

National Provider Directory

Locations

1075 S Utah Ave
Ste 356
Idaho Falls, ID 83402
Phone (208) 541-4295

560 W Sunnyside Rd
Ste D
Idaho Falls, ID 83402
Phone (208) 274-4720

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": "1660348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1679201982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 N 615 E",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832745077",
            "telephone_number": "801-510-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W SUNNYSIDE RD STE D",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024641",
            "telephone_number": "208-274-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-13",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "801-510-7230",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "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 Feb 12, 2025; 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.