Abiding Self Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ABIDING SELF INC

Practice address

427 N 4TH Ave
Pocatello, ID 83201-6341

Phone

(208) 478-2052

Fax

(208) 478-1601

NPI assigned

Feb 18, 2008

Last updated

Feb 18, 2008By 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

Elizabeth Merkley

Title

President

Phone

(208) 478-2052

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1760650311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 N 4TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016341",
            "telephone_number": "208-478-2052",
            "fax_number": "208-478-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N 4TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016341",
            "telephone_number": "208-478-2052",
            "fax_number": "208-478-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIDING SELF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "MERKLEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-478-2052"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Pocatello, ID
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.