Ecetera Therapy Clinic

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ECETERA THERAPY CLINIC

Practice address

1070 Riverwalk Dr
Idaho Falls, ID 83402-3341

Phone

(208) 314-3731

NPI assigned

Feb 8, 2023

Last updated

Feb 15, 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

Heidi R MaurerNPI 1437700473

Title

Owner

Phone

(208) 709-9215

Specialties & licenses 2

Addresses

Locations

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.

• Heidi Rudd Maurer, LPC

  • Counselor
  • Idaho Falls, ID
  • NPI 1437700473
  NPD Authorized official

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1730886003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E 18TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 RIVERWALK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023341",
            "telephone_number": "208-314-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECETERA THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-709-9215"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Idaho Spine Center
• Eastgate Drug Inc (Westgate Drug Store)
• Eastunder Therapy LLC (Meraki Healthcare)
• Sandi De Eatinger, LCSW
• Colby C Ebanks, PT, DPT
• Amanda Eck, MOTR/L
• Edema Therapy Solutions, LLC
• Eden Home Health of Idaho Falls, LLC (Eden Home Health)
• Eden Hospice at Idaho Falls, LLC (Eden Hospice)
• William R Eder, M.D.

• Mental Health Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.