Organization Active NPI

Aspen Center Rehabilitation and Counseling LLC

  • Developmental Disabilities Clinic/Center
  • Driggs, ID
National Provider Identifier
1689885238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
ASPEN CENTER REHABILITATION AND COUNSELING LLC
Practice address
140 N. 1St E.
Driggs, ID 83442
Phone
(208) 354-3601
Fax
(208) 354-3602
NPI assigned
May 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kim Marie Six
Title
President
Phone
(208) 354-3601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

140 N. 1St E.
Driggs, ID 83442

Mailing address

PO Box 990
Driggs, ID 83422-0990
Phone (208) 354-3601

National Provider Directory

National Provider Directory
Tax ID family
Aspen Center Rehabilitation and Counseling LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689885238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834220990",
            "telephone_number": "208-354-3601",
            "fax_number": "208-354-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N. 1ST E.",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "83442",
            "telephone_number": "208-354-3601",
            "fax_number": "208-354-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN CENTER REHABILITATION AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIX",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-354-3601",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Driggs, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.