Active NPI
Cory Steele
- Mental Health Counselor
- Idaho Falls, ID
National Provider Identifier
1881439636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 502 S Woodruff Ave
Idaho Falls, ID 83401-5298 - Phone
- (208) 346-7500
- NPI assigned
- Jun 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
502 S Woodruff Ave
Idaho Falls, ID 83401-5298
Mailing address
4957 Remember Dr
Ammon, ID 83406-5051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 S Woodruff Ave
Suite 101
Idaho Falls, ID 83401-5286
Phone (208) 346-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reconnect Counseling and Coaching LLC | Mental Health | Current | Accepting new patients |
| Pearl Health Clinic | Mental Health | Current | Accepting new patients |
| Ketamine Infusions of Idaho | Past | Accepting new patients |
Locations
2705 E 17th St
Ammon, ID 83406
725 S Woodruff Ave
Ste 101
Idaho Falls, ID 83401
502 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 348-7500
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Ammon, ID
- NPI 1447426465
-
- Mental Health Counselor
- Idaho Falls, ID
- NPI 1851223481
-
- Infusion Therapy Clinic/Center
- Idaho Falls, ID
- NPI 1730769142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1881439636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4957 REMEMBER DR",
"city": "AMMON",
"state": "ID",
"postal_code": "834065051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 S WOODRUFF AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834015298",
"telephone_number": "208-346-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "CORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.