Active NPI
Lost River Counseling PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Idaho Falls, ID
National Provider Identifier
1750157400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LOST RIVER COUNSELING PLLC
- Practice address
- 1070 Riverwalk Dr Ste 264
Idaho Falls, ID 83402-3343 - Phone
- (208) 219-7655
- NPI assigned
- Dec 4, 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
- Daniel James Griffin, LCSW
- Title
- Owner/Therapist
- Phone
- (208) 219-6304
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1070 Riverwalk Dr Ste 264
Idaho Falls, ID 83402-3343
Mailing address
113 E 14TH St
Idaho Falls, ID 83404-5909
Phone (208) 219-6304
National Provider Directory
National Provider DirectoryLocations
1070 Riverwalk Dr
Ste 258
Idaho Falls, ID 83402
Phone (208) 201-3425
1070 Riverwalk Dr
Ste 264
Idaho Falls, ID 83402
Phone (208) 219-7655
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1003468521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717718400000",
"number": "1750157400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 E 14TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834045909",
"telephone_number": "208-219-6304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 RIVERWALK DR STE 264",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834023343",
"telephone_number": "208-219-7655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOST RIVER COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-04",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "208-219-6304",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.