Trauma and Grief Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRAUMA AND GRIEF COUNSELING, LLC

Practice address

5164 Canterbury St
Chubbuck, ID 83202-5065

Phone

(208) 251-6030

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Brooks Bastian Hanks, PHD, LCPC

Title

Owner

Phone

(208) 251-6030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1942054838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5164 CANTERBURY ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "83202",
            "telephone_number": "208-251-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5164 CANTERBURY ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025065",
            "telephone_number": "208-251-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA AND GRIEF COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "HANKS",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_middle_name": "BASTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-251-6030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Kiernan Thomas
• Joshua Thuernagle, PARAPROFESSIONAL
• Paulette Toledo
• Joanne Marie Trammel, OT
• Daniel Lance Traughber, PHD
• Triton Wellness Solutions & Softwave Therapy
• Corinne Truesdell, PARAPROFESSIONAL
• Belinda Turley
• Leeann A Turpin, LCPC
• Casey Ulrich, M.S.CCC-SLP

• Community/Behavioral Health Agency in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.