NPIMap

Organization Active NPI

Suzanne Godfrey

  • Counselor
  • Idaho Falls, ID
National Provider Identifier
1982937736
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-4355 Issued in ID
Legal business name
SUZANNE GODFREY
Practice address
2001 S Woodruff Ave Ste 6
Idaho Falls, ID 83404-6371
Phone
(208) 529-4673
Fax
(208) 529-4676
NPI assigned
Sep 11, 2009
Organization subpart
Yes
Parent organization
CLUB, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Mardee Harper
Title
Executive Director
Phone
(208) 529-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X LPC-4355 ID Primary

Addresses

Primary practice location

2001 S Woodruff Ave Ste 6
Idaho Falls, ID 83404-6371

Mailing address

2001 S Woodruff Ave Ste 6
Idaho Falls, ID 83404-6371
Phone (208) 529-4673

National Provider Directory

National Provider Directory
Part of
Club Inc

Locations

2001 S Woodruff Ave
Ste 6
Idaho Falls, ID 83404
Phone (208) 529-4673

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1982937736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S WOODRUFF AVE STE 6",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046371",
            "telephone_number": "208-529-4673",
            "fax_number": "208-529-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S WOODRUFF AVE STE 6",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046371",
            "telephone_number": "208-529-4673",
            "fax_number": "208-529-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE GODFREY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLUB, INC.",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MARDEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-529-4673"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC-4355",
            "primary": true
        }
    ],
    "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 Sep 11, 2009; 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.