NPIMap

Organization Active NPI

Personal Advantage Counseling

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
National Provider Identifier
1679869853
Registry record updated Jun 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PERSONAL ADVANTAGE COUNSELING
Practice address
120 Northgate Mile
Idaho Falls, ID 83401-2543
Phone
(208) 932-3753
NPI assigned
Jun 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2011

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

Authorized official

Name
Michael McClellan
Title
Owner
Phone
(208) 932-3753

Specialties & licenses 1

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

Addresses

Primary practice location

120 Northgate Mile
Idaho Falls, ID 83401-2543

Mailing address

120 Northgate Mile
Idaho Falls, ID 83401-2543
Phone (208) 932-3753

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308960000000",
    "number": "1679869853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NORTHGATE MILE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834012543",
            "telephone_number": "208-932-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NORTHGATE MILE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834012543",
            "telephone_number": "208-932-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL ADVANTAGE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-25",
        "last_updated": "2011-06-25",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-932-3753"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Jun 25, 2011; 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.