Active NPI
Advocacy Center
- Adult Mental Health Clinic/Center
- Idaho Falls, ID
National Provider Identifier
1760940639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- ADVOCACY CENTER
- Practice address
- 2429 Jafer CT
Idaho Falls, ID 83404-5587 - Phone
- (208) 712-7077
- Fax
- (208) 384-9057
- NPI assigned
- Mar 8, 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
- Garrett Smith
- Title
- Authorized Official/Owner
- Phone
- (208) 346-3926
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
2429 Jafer CT
Idaho Falls, ID 83404-5587
Mailing address
3270 E 17TH St Ste 261
Ammon, ID 83406-6758
Phone (208) 712-7077
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Idaho Falls, ID
- NPI 1821693094
-
- Professional Counselor
- Idaho Falls, ID
- NPI 1114322906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594166400000",
"number": "1760940639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3270 E 17TH ST STE 261",
"city": "AMMON",
"state": "ID",
"postal_code": "834066758",
"telephone_number": "208-712-7077",
"fax_number": "208-384-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2429 JAFER CT",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834045587",
"telephone_number": "208-712-7077",
"fax_number": "208-384-9057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVOCACY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-08",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "GARRETT",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
"authorized_official_telephone_number": "208-346-3926"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.