NPIMap

Organization Active NPI

4 Pillars of Success LLC

  • Psychologist
  • Ammon, ID
National Provider Identifier
1811029341
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
4 PILLARS OF SUCCESS LLC
Practice address
1619 Curlew Dr Ste 9
Ammon, ID 83406-4719
Phone
(208) 497-0807
Fax
(208) 514-4055
NPI assigned
Mar 11, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Demi Echi-Aboli
Title
Billing Department Director
Phone
(208) 360-1038

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
4 Pillars of Success LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1619 Curlew Dr
Ste 9
Ammon, ID 83406
Phone (208) 497-0807

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1619 Curlew Dr Ste 9
Ammon, ID 83406-4719

Mailing address

PO Box 2106
Idaho Falls, ID 83403-2106
Phone (208) 522-8899

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
805208400MedicaidID

Other names 1

NPPES NPI Registry
  • Rehabilitative Health Services Doing business as

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL Insync

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2025.

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1811029341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2106",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032106",
            "telephone_number": "208-522-8899",
            "fax_number": "208-522-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 CURLEW DR STE 9",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064719",
            "telephone_number": "208-497-0807",
            "fax_number": "208-514-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 PILLARS OF SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "ECHI-ABOLI",
        "authorized_official_first_name": "DEMI",
        "authorized_official_title_or_position": "BILLING DEPARTMENT DIRECTOR",
        "authorized_official_telephone_number": "208-360-1038"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805208400",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Insync",
            "affiliation": "N",
            "endpointDescription": "EMR System",
            "address_1": "1619 Curlew Dr Ste 9",
            "city": "Ammon",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834064719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rehabilitative Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rehabilitative Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.