Organization Active NPI

Counseling Center

  • Mental Health Counselor
  • Twin Falls, ID
National Provider Identifier
1982758751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMFT2991 Issued in ID
Legal business name
COUNSELING CENTER
Practice address
233 Gooding St N
Ste D
Twin Falls, ID 83301-6179
Phone
(208) 732-0405
Fax
(208) 543-2828
NPI assigned
Jan 22, 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
Debra Dockstader
Title
Director
Phone
(208) 543-4494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LMFT2991 ID Primary

Addresses

Primary practice location

233 Gooding St N
Ste D
Twin Falls, ID 83301-6179

Mailing address

233 Gooding St N
Ste D
Twin Falls, ID 83301-6179
Phone (208) 732-0405

National Provider Directory

National Provider Directory

Locations

233 Gooding St N
Ste D
Twin Falls, ID 83301
Phone (208) 732-0405

Practitioners & affiliated clinicians

Practitioners 2

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982758751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 GOODING ST N",
            "address_2": "STE D",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016179",
            "telephone_number": "208-732-0405",
            "fax_number": "208-543-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 GOODING ST N",
            "address_2": "STE D",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016179",
            "telephone_number": "208-732-0405",
            "fax_number": "208-543-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOCKSTADER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-543-4494"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMFT2991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, 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.