NPIMap

Organization Active NPI

Center Counseling, LLC

  • Peer Specialist
  • Chubbuck, ID
National Provider Identifier
1700425600
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
CENTER COUNSELING, LLC
Practice address
265 E Chubbuck Rd
Chubbuck, ID 83202-5055
Phone
(208) 237-1711
Fax
(208) 237-9806
NPI assigned
Dec 26, 2019
Last updated
Jan 13, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER COUNSELING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Deborah Arlene Goss
Title
Credentialing Specialist
Phone
(208) 221-1161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

265 E Chubbuck Rd
Chubbuck, ID 83202-5055

Mailing address

265 E Chubbuck Rd
Chubbuck, ID 83202-5055
Phone (208) 237-1711

Other names 1

  • Center Counseling, LLC - Peer Support Other name

National Provider Directory

National Provider Directory
Tax ID family
Center Counseling LLC5 organizations share this tax ID, including this one
Part of
Center Counseling LLC

Other organizations with this tax ID 4

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": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1700425600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E CHUBBUCK RD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025055",
            "telephone_number": "208-237-1711",
            "fax_number": "208-237-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E CHUBBUCK RD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025055",
            "telephone_number": "208-237-1711",
            "fax_number": "208-237-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER COUNSELING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER COUNSELING, LLC",
        "enumeration_date": "2019-12-26",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "208-221-1161"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Counseling, LLC - Peer Support",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chubbuck, ID

Sources for this page

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