Active NPI
Just 4 Kids Health LLC
- Mental Health Counselor
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- JUST 4 KIDS HEALTH LLC
- Doing business as
- Just 4 Kids Mental Health
- Practice address
- 2105 Coronado Street
Idaho Falls, ID 83404 - Phone
- (208) 534-7881
- Fax
- (208) 242-4464
- NPI assigned
- Nov 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aaron Howard Gardner, MD
- Title
- Owner
- Phone
- (208) 534-7881
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
2105 Coronado Street
Idaho Falls, ID 83404
Mailing address
PO Box 1407
Idaho Falls, ID 83403-1407
Phone (208) 534-7881
Other practice location 1
1218 Bond Ave.
Rexburg, ID 83440
Phone (208) 534-7881
Other practice location 2
190 Bullock St.
Chubbuck, ID 83202
Phone (208) 534-7881
Other names 1
- Just 4 Kids Mental Health
National Provider Directory
National Provider Directory- Tax ID family
- Just 4 Kids Health LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Idaho Falls, ID
- NPI 1043722259
-
- Pediatrics Physician
- Rexburg, ID
- NPI 1083338651
Locations
1218 Bond Ave
Rexburg, ID 83440
Phone (208) 522-3355
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Urgent Care Clinic/Center
- Idaho Falls, ID
- NPI 1043722259
-
- Pediatrics Physician
- Rexburg, ID
- NPI 1083338651
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Idaho Falls, ID
- NPI 1164161279
-
- Mental Health Counselor
- Pocatello, ID
- NPI 1205489234
-
- Professional Counselor
- Idaho Falls, ID
- NPI 1578311320
-
- Mental Health Counselor
- Pocatello, ID
- NPI 1396905311
-
- Psychiatric/Mental Health Nurse Practitioner
- Idaho Falls, ID
- NPI 1689432676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771200000000",
"number": "1700651221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1407",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834031407",
"telephone_number": "208-534-7881",
"fax_number": "208-203-7067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 CORONADO STREET",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "83404",
"telephone_number": "208-534-7881",
"fax_number": "208-242-4464"
}
],
"practiceLocations": [
{
"address_1": "1218 Bond Ave.",
"address_purpose": "LOCATION",
"city": "Rexburg",
"state": "ID",
"postal_code": "83440",
"country_code": "US",
"telephone_number": "208-534-7881",
"fax_number": "208-242-4464",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "190 Bullock St.",
"address_purpose": "LOCATION",
"city": "Chubbuck",
"state": "ID",
"postal_code": "83202",
"country_code": "US",
"telephone_number": "208-534-7881",
"fax_number": "208-242-4464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JUST 4 KIDS HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-15",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A",
"authorized_official_last_name": "GARDNER",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-534-7881",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Just 4 Kids Mental Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Just 4 Kids Mental Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.