Organization Active NPI

Reliance Mental Health PC

  • Mental Health Counselor
  • Pocatello, ID
National Provider Identifier
1821215963
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RELIANCE MENTAL HEALTH PC
Practice address
328 W Clark St
Pocatello, ID 83204-3148
Phone
(208) 478-2172
Fax
(208) 478-2174
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Parris L Allen
Title
Office Manager
Phone
(208) 478-2172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

328 W Clark St
Pocatello, ID 83204-3148

Mailing address

PO Box 328
Pocatello, ID 83204-0328
Phone (208) 478-2172

National Provider Directory

National Provider Directory
Tax ID family
Reliance Mental Health PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

328 W Clark St
Pocatello, ID 83204
Phone (208) 478-2172

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821215963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832040328",
            "telephone_number": "208-478-2172",
            "fax_number": "208-478-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W CLARK ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043148",
            "telephone_number": "208-478-2172",
            "fax_number": "208-478-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE MENTAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "PARRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-478-2172",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.