NPIMap

Organization Active NPI

D6 Treatment

  • Addiction (Substance Use Disorder) Counselor
  • Pocatello, ID
National Provider Identifier
1689218018
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
D6 TREATMENT
Practice address
1001 N 7TH Ave Ste 260
Pocatello, ID 83201-5788
Phone
(208) 242-9087
Fax
(208) 242-9115
NPI assigned
Oct 29, 2019
Last updated
Apr 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Theresa McCoy
Title
Office Manager / Billing Specialist
Phone
(208) 242-9087

Specialties & licenses 1

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

Addresses

Primary practice location

1001 N 7TH Ave Ste 260
Pocatello, ID 83201-5788

Mailing address

1001 N 7TH Ave Ste 260
Pocatello, ID 83201-5788
Phone (208) 242-9087

Other identifiers 1

IdentifierTypeStateIssuer
101YA0400XOtherIDTAXONOMY CODE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info.d6treatment@gmail.com

National Provider Directory

National Provider Directory
Tax ID family
Bannock Co Ambulance Serv3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1001 N 7th Ave
Ste 260
Pocatello, ID 83201
Phone (208) 242-8249

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1689218018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N 7TH AVE STE 260",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015788",
            "telephone_number": "208-242-9087",
            "fax_number": "208-242-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N 7TH AVE STE 260",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015788",
            "telephone_number": "208-242-9087",
            "fax_number": "208-242-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D6 TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER / BILLING SPECIALIST",
        "authorized_official_telephone_number": "208-242-9087"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "101YA0400X",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info.d6treatment@gmail.com",
            "affiliation": "N",
            "address_1": "1001 N 7th Ave Ste 260",
            "city": "Pocatello",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832015788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.