Active NPI
Optima Health Care Systems
- Addiction (Substance Use Disorder) Counselor
- Twin Falls, ID
National Provider Identifier
1780218404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- OPTIMA HEALTH CARE SYSTEMS
- Practice address
- 661 2ND Ave N
Twin Falls, ID 83301-5745 - Phone
- (208) 421-8358
- NPI assigned
- Mar 3, 2020
- 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
- Stephanie Potter
- Title
- Owner
- Phone
- (208) 421-8358
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Marriage & Family Therapist | 106H00000X | |||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
661 2ND Ave N
Twin Falls, ID 83301-5745
Mailing address
3303 Aspen Ridge Cir
Kimberly, ID 83341-5511
Phone (208) 421-8358
National Provider Directory
National Provider DirectoryLocations
154 1st Ave W
Jerome, ID 83338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1780218404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 ASPEN RIDGE CIR",
"city": "KIMBERLY",
"state": "ID",
"postal_code": "833415511",
"telephone_number": "208-421-8358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 2ND AVE N",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015745",
"telephone_number": "208-421-8358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMA HEALTH CARE SYSTEMS",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-03",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "POTTER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-421-8358"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.