Organization Active NPI

Triple R Recovery LLC

  • Addiction (Substance Use Disorder) Counselor
  • Caldwell, ID
National Provider Identifier
1922811157
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
TRIPLE R RECOVERY LLC
Practice address
21985 Dixie River Rd # 102
Caldwell, ID 83607-9027
Phone
(208) 615-7599
NPI assigned
Jan 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Kathleen Marie Mattix, CADCNPI 1982148078
Title
Substance Use Disorder Counselor
Phone
(208) 615-7599

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
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

21985 Dixie River Rd # 102
Caldwell, ID 83607-9027

Mailing address

21985 Dixie River Rd # 102
Caldwell, ID 83607-9027
Phone (208) 615-7599

Other practice location 1

21985 Dixie River Rd # 102
Caldwell, ID 83607-9027
Phone (208) 615-7599

National Provider Directory

National Provider Directory

Locations

21985 Dixie River Rd
#102
Caldwell, ID 83607
Phone (208) 615-7599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1922811157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21985 DIXIE RIVER RD # 102",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836079027",
            "telephone_number": "208-615-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21985 DIXIE RIVER RD # 102",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836079027",
            "telephone_number": "208-615-7599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21985 Dixie River Rd # 102",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836079027",
            "country_code": "US",
            "telephone_number": "208-615-7599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIPLE R RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "MATTIX",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SUBSTANCE USE DISORDER COUNSELOR",
        "authorized_official_telephone_number": "208-615-7599",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.