Edge Counseling, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

EDGE COUNSELING, LLC

Practice address

2976 E State St Ste
Eagle, ID 83616-6394

Phone

(208) 996-2752

NPI assigned

Feb 16, 2024

Last updated

Apr 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa A Gifford, CADCNPI 1083471627

Title

Sud Counselor / Owner

Phone

(208) 996-2752

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, and the practitioner matching its NPPES authorized official.

• Melissa Gifford, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Meridian, ID
  • NPI 1083471627
  NPD Authorized official

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1851156004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 E STATE ST STE",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166394",
            "telephone_number": "208-996-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 E STATE ST STE",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166394",
            "telephone_number": "208-996-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SUD COUNSELOR / OWNER",
        "authorized_official_telephone_number": "208-996-2752",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Eagle, ID
• Providers in Eagle, ID by specialty
• Addiction (Substance Use Disorder) Counselor in Idaho

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

Verify at the official NPI Registry.