Individual provider Active NPI

Avery Ann Eddins, LMSW

  • Social Worker
  • Saint Anthony, ID
National Provider Identifier
1881567097
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2871273 Issued in ID
Practice address
325 N 7TH E
Saint Anthony, ID 83445-1644
Phone
(208) 313-0683
NPI assigned
Sep 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2871273 ID Primary

Addresses

Primary practice location

325 N 7TH E
Saint Anthony, ID 83445-1644

Mailing address

325 N 7TH E
Saint Anthony, ID 83445-1644
Phone (208) 313-0683

Other practice location 1

343 E 4th N
Rexburg, ID 83440-6002
Phone (208) 261-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2871273IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greenstone Counseling LLC PastSince Apr 14, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1881567097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N 7TH E",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834451644",
            "telephone_number": "208-313-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N 7TH E",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834451644",
            "telephone_number": "208-313-0683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "343 E 4th N",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834406002",
            "country_code": "US",
            "telephone_number": "208-261-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDDINS",
        "first_name": "AVERY",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "2871273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Anthony, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.