Take Heart Counseling Idaho

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

TAKE HEART COUNSELING IDAHO

Practice address

139 River Vista PL Ste 201
Twin Falls, ID 83301-3060

Phone

(208) 421-0238

NPI assigned

May 3, 2023

Last updated

Jun 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Louise Jones, LCSWNPI 1104078534

Title

Authorized Official

Phone

(208) 421-0238

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

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.

• Carolyn Louise Jones, LCSW

  • Clinical Social Worker
  • Twin Falls, ID
  • NPI 1104078534
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686960000000",
    "number": "1700575024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 KANAKA CT",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "833165162",
            "telephone_number": "208-421-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 RIVER VISTA PL STE 201",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013060",
            "telephone_number": "208-421-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE HEART COUNSELING IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "208-421-0238",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Swayze, L.P.C.
• Michael Cameron Sweeney, M.D.
• T2 Apothecary (KJ's Pharmacy)
• Christa Tackett, LPC-INTERN
• Ryan Eldon Tade, M.D.
• Tanabell Health Services Inc (Serenity Rehabilitation and Care Center)
• Maggie Tang, PHARMD
• Brandon Dee Tanner, PA
• Kristina S. Tapia, LCSW
• Monique Tappan

• Adult Mental Health Clinic/Center in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Adult Mental Health Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.