Misty Mountains Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MISTY MOUNTAINS THERAPY, LLC

Practice address

534 Trejo St # 200J
Rexburg, ID 83440-5408

Phone

(530) 949-4774

Fax

(219) 200-3367

NPI assigned

Apr 26, 2022

Organization subpart

No

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

Authorized official

Name

Jefferson Hunt, LAMFTNPI 1134670862

Title

Owner

Phone

(630) 632-5822

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jefferson Hunt, LAMFT

  • Marriage & Family Therapist
  • Rexburg, ID
  • NPI 1134670862
  NPD Authorized official

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1841934809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 TREJO ST # 200J",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405408",
            "telephone_number": "630-632-5822",
            "fax_number": "219-200-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 TREJO ST # 200J",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405408",
            "telephone_number": "530-949-4774",
            "fax_number": "219-200-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY MOUNTAINS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-632-5822",
        "authorized_official_credential": "LAMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Annette Foster Miller, MCOUN., LPC, NCC
• Natalie Millett, LPC, NCC
• Brittaini Milner, LCSW
• Jay Milner
• Mindful Mood Psychiatry, PLLC
• William J Mitchell
• Julie Raye Moody, PMHNP
• Cameron Moore
• Dalynn N Moore, MC, LPC
• Tyler Herchell Moore, NP

• Mental Health Counselor in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.