CENTER COUNSELING, LLC (NPI# 1700425600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700425600 |
| Entity Type | Organization |
| Organization Name | CENTER COUNSELING, LLC |
| Practice Address |
265 E Chubbuck Rd Chubbuck ID 83202-5055 |
| Practice Telephone | 2082371711 |
| Practice Fax Number | 2082379806 |
| Mailing Telephone | 2082371711 |
| Mailing Fax Number | 2082379806 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | DEBORAH ARLENE GOSS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2082211161 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER COUNSELING, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Center Counseling, LLC - Peer Support | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255977914 | Center Counseling, LLC | Clinic/Center | 140 Evans Ln, Chubbuck, ID 83202-1914 | 2019-11-18 |
| 1104374974 | Center Counseling, LLC | Social Worker | 265 East Chubbuck, Chubbuck, ID 83202-5055 | 2016-09-21 |
| 1679107296 | Center Counseling, LLC | Specialist | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2020-02-24 |
| 1679112502 | Center Counseling, LLC | Community/Behavioral Health | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-12-23 |
| 1376182204 | Center Counseling, LLC | Case Management | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-12-23 |
| Street Address |
265 E CHUBBUCK RD |
| City | CHUBBUCK |
| State | ID |
| Zip Code | 83202-5055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215204862 | Custom Rehab LLC | Physical Therapist | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2011-11-28 |
| 1083238877 | Ashlynn Hayden Oborn | Social Worker | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2020-06-08 |
| 1679107296 | Center Counseling, LLC | Specialist | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2020-02-24 |
| 1679112502 | Center Counseling, LLC | Community/Behavioral Health | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-12-23 |
| 1376182204 | Center Counseling, LLC | Case Management | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-12-23 |
| 1831731215 | Jodie Lynn Barnes | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-10-17 |
| 1821650250 | William Clayton Riggs | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-07-06 |
| 1912562968 | Cynthia Louise Lange | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-05-06 |
| 1346708948 | Temoc Rafael Torres | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-03-04 |
| 1841720224 | Julianne Maria Andrysiak | Social Worker | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2017-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426923 | Amie Hughes | Peer Specialist | 4737 S Afton Pl Ste A, Chubbuck, ID 83202-2317 | 2019-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779523 | Tracie Lyn Hansen | Peer Specialist | 560 Fairway Dr, Pocatello, ID 83201-2012 | 2020-10-29 |
| 1306481817 | Ability Health and Rehabilitation LLC | Peer Specialist | 10101 W Overland Rd Ste 110, Boise, ID 83709-1429 | 2019-11-08 |
| 1184113482 | Kolleen Marie Wynn-gallipeau | Peer Specialist | 444 Hospital Way Ste 447, Pocatello, ID 83201-2744 | 2018-05-02 |
| 1073127791 | Calm Waters Counseling Pllc | Peer Specialist | 10108 W Overland Rd Ste A, Boise, ID 83709-1428 | 2020-09-01 |
| 1790307890 | Jx2 LLC | Peer Specialist | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
| 1063034437 | Inroads, Inc | Peer Specialist | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2020-05-08 |
| 1356962112 | Aaa American Healthcare LLC | Peer Specialist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-04 |
| 1346878691 | Aspen Ministries Syringa Wellness | Peer Specialist | 1609 S Kimball Ave Ste 200, Caldwell, ID 83605-5196 | 2020-03-31 |
| 1962033399 | Lookout Behavioral Health LLC | Peer Specialist | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2020-02-04 |
| 1356981419 | Lake City Counseling Center | Peer Specialist | 9705 N Shaw St, Hayden, ID 83835-9716 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CENTER COUNSELING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.