Active NPI
Aspen Consulting and Management Services, LLC
- Mental Health Counselor
- Idaho Falls, ID
National Provider Identifier
1760032502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ASPEN CONSULTING AND MANAGEMENT SERVICES, LLC
- Practice address
- 771 South Woodruff Avenue
Idaho Falls, ID 83401 - Phone
- (208) 534-8303
- NPI assigned
- Sep 13, 2019
- Last updated
- Sep 13, 2019
- 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
- Matthew Francis Smith
- Title
- Ceo
- Phone
- (208) 534-8303
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
771 South Woodruff Avenue
Idaho Falls, ID 83401
Mailing address
3270 E 17TH St # 261
Ammon, ID 83406-6758
Phone (208) 534-8303
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568332800000",
"number": "1760032502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3270 E 17TH ST # 261",
"city": "AMMON",
"state": "ID",
"postal_code": "834066758",
"telephone_number": "208-534-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 SOUTH WOODRUFF AVENUE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "83401",
"telephone_number": "208-534-8303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPEN CONSULTING AND MANAGEMENT SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-13",
"last_updated": "2019-09-13",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-534-8303"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
- Dorian W Asher, PSYD
- Ashton Memorial Inc (Gustafson House)
- Ashton Memorial, Inc. (Youth and Family Renewal Services)
- Ashton Memorial, Inc. (The Counseling Clinic)
- Phillip M Ashton, LCSW
- Aspen Developmental Services, Inc.
- Aspen Home Health Private Duty LLC (IntegriCare of Eastern Idaho)
- Aspen Managment Services Inc (Advanced Health and Physical Therapy Center)
- Aspen Mental Health Services, Inc. (Aspen Developmental Services)
- Aspen Valley Family Dentistry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.