Organization Active NPI

Alpine Counseling, PLLC

  • Mental Health Counselor
  • Idaho Falls, ID
National Provider Identifier
1881708832
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC 267 Issued in ID
Legal business name
ALPINE COUNSELING, PLLC
Practice address
2235 E 25TH St Ste 220
Idaho Falls, ID 83404-7530
Phone
(208) 522-9812
Fax
(208) 522-9859
NPI assigned
Aug 18, 2006
Last updated
Apr 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Susan Marie Heng, LCSW
Title
Owner
Phone
(208) 522-9812

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC 267 ID Primary
Clinical Social Worker 1041C0700X LCSW 715 ID

Addresses

Primary practice location

2235 E 25TH St Ste 220
Idaho Falls, ID 83404-7530

Mailing address

2235 E 25TH St Ste 220
Idaho Falls, ID 83404-7530
Phone (208) 522-9812

National Provider Directory

National Provider Directory

Locations

2235 E 25th St
Ste 220
Idaho Falls, ID 83404
Phone (208) 522-9812

Practitioners & affiliated clinicians

Practitioners 8

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1881708832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 E 25TH ST STE 220",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047530",
            "telephone_number": "208-522-9812",
            "fax_number": "208-522-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E 25TH ST STE 220",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047530",
            "telephone_number": "208-522-9812",
            "fax_number": "208-522-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "HENG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-522-9812",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC 267",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW 715",
            "primary": false
        }
    ],
    "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 Apr 27, 2011; 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.