4 Pillars of Success LLC
Organization Active NPI Clinic/Center · Ammon, ID
NPI 1992487615 · NPPES record last updated Jan 7, 2026
Key facts
- NPI
- 1992487615
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- 4 PILLARS OF SUCCESS LLC
- Practice address
- 1619 Curlew Dr Ste 7
Ammon, ID 83406-4719 - Phone
- (208) 523-5319
- NPI assigned
- Aug 2, 2023
- Organization subpart
- No
Authorized official
- Name
- Demi Echi-Aboli
- Title
- Billing Department Director
- Phone
- (208) 360-1038
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 9
Practitioners 32
-
David Paul Adams, FNP-C
-
Stacey Lyn Allen, CSW
-
Lalanni Burnell, CPSS
-
Michelyn Devine, PSY.D.
-
Erica Lynne Finney, LCSW
-
Sydney Fregoso, INTERN
-
Brett L Hampton, LMSW
-
Tiffany Hayner, LMSW
-
Charlene Hertzberg, LCSW
-
Sara Jean Hiatt, LCSW
-
David Charles Homer, LCSW
-
Sonja Johnson, LPC
-
Johnathan Koelsch, LMSW
-
Elizabeth Loosli, LCSW
-
Jamyn Rae Lott, MSW
-
Kenneth Roy Marlowe, LCPC
-
Tamara Ann Melville, APRN
-
April A Moedl, LMSW
-
Whitney Lee Moore, DNP, PMHNP
-
Valerie Ann P'Pool, LCSW
-
Colton Jeffery Phelps, MSN, PMHNP-BC
-
Suzanne Taylor Powers, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240131004474 | ID | Part B Supplier - Clinic/Group Practice | 4688027188 |
Receives reassigned benefits from 27 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ammon, ID |
National Provider Directory
- Tax ID family
- 4 Pillars of Success LLC
Locations
1619 Curlew Dr
Ste 7
Ammon, ID 83406
Phone (208) 497-0898
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1619 Curlew Dr Ste 7
Ammon, ID 83406-4719
Mailing address
PO Box 2106
Idaho Falls, ID 83403-2106
Other names
- Rehabilitative Health Services
Other providers in Ammon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.