Organization Active NPI

Affinity Counseling LLC

  • Clinical Social Worker
  • Rexburg, ID
National Provider Identifier
1881147684
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW30107 Issued in ID
Legal business name
AFFINITY COUNSELING LLC
Practice address
343 E 4TH N
#204
Rexburg, ID 83440-6002
Phone
(208) 346-3322
NPI assigned
Jul 27, 2016
Last updated
Jul 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Rhet K Dalling, LCSWNPI 1104184738
Title
Owner
Phone
(208) 313-2634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW30107 ID Primary

Addresses

Primary practice location

343 E 4TH N
#204
Rexburg, ID 83440-6002

Mailing address

1756 W 4200 N
Rexburg, ID 83440-3208
Phone (208) 346-3322

National Provider Directory

National Provider Directory

Locations

343 E 4th N
Ste 204
Rexburg, ID 83440
Phone (208) 346-3322

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1881147684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 W 4200 N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834403208",
            "telephone_number": "208-346-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E 4TH N",
            "address_2": "#204",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406002",
            "telephone_number": "208-346-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "DALLING",
        "authorized_official_first_name": "RHET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-313-2634",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW30107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.