NPIMap

Organization Active NPI

Snake River Rehabilitation Counseling Services LLC

  • Community/Behavioral Health Agency
  • Lewiston, ID
National Provider Identifier
1972700813
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SNAKE RIVER REHABILITATION COUNSELING SERVICES LLC
Practice address
1630 23Rd Ave Ste 301B
Lewiston, ID 83501-6357
Phone
(208) 743-5101
Fax
(208) 746-5282
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Victoria Lee Cunningham
Title
Office Manager
Phone
(208) 743-5101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1630 23Rd Ave Ste 301B
Lewiston, ID 83501-6357

Mailing address

1630 23Rd Ave Ste 301B
Lewiston, ID 83501-6357
Phone (208) 743-5101

National Provider Directory

National Provider Directory
Tax ID family
Snake River Rehabilitation Counseling Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972700813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 23RD AVE STE 301B",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016357",
            "telephone_number": "208-743-5101",
            "fax_number": "208-746-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 23RD AVE STE 301B",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016357",
            "telephone_number": "208-743-5101",
            "fax_number": "208-746-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAKE RIVER REHABILITATION COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-743-5101"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.